Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jonathon P State, MD

Individual provider Family Medicine Physician · NPI 1376595066

Dr. Jonathon P State, MD is a Family Medicine Physician in Birmingham, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

757 Vinewood
Birmingham, MI 48009
Phone: (248) 644-6029
Fax: (519) 258-7896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301074553 (MI)

Record details

NPI number1376595066
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 17, 2006
Last updated in NPPESMay 6, 2011
Mailing address757 Vinewood, Birmingham, MI 48009

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