Mr. Jack A Kooienga

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NPI Number Detailed Information

Provider Information:

Name:	Mr. Jack A Kooienga
Gender:	M
Provider License Number If Given:	4704218318

NPI Information:

NPI:	1518216308
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/7/2012
Last Update Date:	8/9/2021

Provider Business Mailing Address:

Address:	985 GEZON PKWY SW Wyoming, MI 49509
Phone Number:	6162524655
Fax Number:	6162520103

Provider Business Practice Location Address:

Address:	5900 BYRON CENTER AVE SW Wyoming, MI 49519
Phone Number:	6162527200
Fax Number:	6162527830

Provider Taxonomy:

Primary:	363LC0200X
Secondary (if any):	363LA2100X
State:	MI

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About Mr. Jack A Kooienga

Mr. Jack A Kooienga (MR. JACK A KOOIENGA ) is Definition Nurse Practitioner Physician in Wyoming, MI. The NPI Number for Mr. Jack A Kooienga is 1518216308.

The current location address for Mr. Jack A Kooienga is 5900 BYRON CENTER AVE SW Wyoming, MI 49519 and the contact number is 6162524655 and fax number is 6162520103. The mailing address for Mr. Jack A Kooienga is 985 GEZON PKWY SW Wyoming, MI 49509- 6162527200 (mailing address contact number - 6162524655).

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FAQs:

What is the NPI Number for Mr. Jack A Kooienga ?

Answer: The NPI Number for Mr. Jack A Kooienga is 1518216308

Where is Mr. Jack A Kooienga located?

Answer: Mr. Jack A Kooienga is located at 5900 BYRON CENTER AVE SW Wyoming, MI 49519.

What is the specialty for Mr. Jack A Kooienga ?

Answer: The Specialty of Mr. Jack A Kooienga is Definition Nurse Practitioner Physician.

Are there any online reviews for Mr. Jack A Kooienga ?

Answer: Not yet!

Are there any other health care providers in Wyoming, MI?

Answer: Yes, there are given below...

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