Individual
JESSICA SERINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 364-4200
(616) 364-7347
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101024562
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
5101024562
MI
363A00000X
Physician Assistant
PA9106391
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2012
Last updated
05/07/2020
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