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Individual

DR. NOAH JEFFREY JENTZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 MICHIGAN ST NE STE 8861, GRAND RAPIDS, MI 49503-2560
(616) 391-6588
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
4301509355
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
57403
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
86559
GA

Other

Enumeration date
04/03/2013
Last updated
01/25/2024
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