Organization
JENISON PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE L OOSTERHOUSE DPM (VICE PRESIDENT)
(616) 457-7171
Entity
Organization
Contact information
Practice address
669 BALDWIN ST, JENISON, MI 49428-7903
(616) 457-7171
(616) 457-1121
Mailing address
4310 LEONARD ST NW, SUITE 103, WALKER, MI 49534
(616) 453-6329
(616) 453-1725
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
12/27/2005
Last updated
02/01/2011
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