Individual
DR. JESSE ISAIAH-KEIRNAN SKOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 S SULLIVAN AVE, FREMONT, MI 49412-1548
(616) 391-3139
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301507643
MI
Other
Enumeration date
06/02/2020
Last updated
08/18/2023
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