Individual
JACOB JAMES DEGRAAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3308 GLADE ST, MUSKEGON, MI 49444-2708
(231) 733-2839
(231) 737-1530
Mailing address
3308 GLADE ST, MUSKEGON, MI 49444-2708
(231) 733-2839
(231) 737-1530
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
3501004916
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4273249
—
MI
Enumeration date
04/18/2008
Last updated
04/18/2008
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