Individual
JACOB TIBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
494 BUTTERNUT DR, HOLLAND, MI 49424-1556
(616) 786-2235
(616) 786-2237
Mailing address
494 BUTTERNUT DR, HOLLAND, MI 49424-1556
(616) 786-2235
(616) 786-2237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302031477
MI
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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