Individual
JACOB PAUL PASTERNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
857 TAMARACK AVE NW, GRAND RAPIDS, MI 49504-4321
(989) 370-4994
Mailing address
857 TAMARACK AVE NW, GRAND RAPIDS, MI 49504-4321
(989) 370-4994
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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