Provider Demographics
NPI:1477662658
Name:BEHRJE, WILLIAM J (MD)
Entity Type:Individual
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First Name:WILLIAM
Middle Name:J
Last Name:BEHRJE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1535 GULL RD
Mailing Address - Street 2:STE 005
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048-1650
Mailing Address - Country:US
Mailing Address - Phone:269-226-6917
Mailing Address - Fax:269-226-7878
Practice Address - Street 1:5943 STADIUM DR
Practice Address - Street 2:STE 1
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-3016
Practice Address - Country:US
Practice Address - Phone:269-552-2898
Practice Address - Fax:269-552-2964
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2009-11-23
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Provider Licenses
StateLicense IDTaxonomies
MI4301033411208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIB44678Medicare UPIN