Individual
DR. JASON ERIC ESSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4600 BRETON RD SE, SUITE 102, KENTWOOD, MI 49508
(616) 391-9700
Mailing address
100 MICHIGAN STREET NE MC845, GRAND RAPIDS, MI 49503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101020410
MI
Other
Enumeration date
06/19/2013
Last updated
03/08/2021
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