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Individual

JACOB FISCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
301 MICHIGAN ST NE STE 200, GRAND RAPIDS, MI 49503-3314
(616) 331-5700
Mailing address
1 CAMPUS DR, ALLENDALE, MI 49401-9401
(616) 331-5700

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MI

Other

Enumeration date
11/25/2024
Last updated
02/21/2025
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