Individual
JACOB SCOTT SPIESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6230 KALAMAZOO AVE SE, KENTWOOD, MI 49508-7022
(616) 698-6700
Mailing address
6314 BERKEY SOUTHERN RD, WHITEHOUSE, OH 43571-9742
(419) 508-2357
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2601002901
MI
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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