Individual
JANE PETTINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
844 WASHINGTON AVE, SUITE 2700, HOLLAND, MI 49423-7195
(616) 355-3820
(616) 355-3960
Mailing address
844 WASHINGTON AVE, SUITE 2700, HOLLAND, MI 49423-7195
(616) 355-3820
(616) 355-3960
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301041406
MI
Other
Enumeration date
03/29/2006
Last updated
03/25/2014
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