Individual
JAKE G VAN SCHAIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 235-6604
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 235-6604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851117853
MI
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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