Individual
JACKSON MESICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
275 MICHIGAN ST NE FL 9, GRAND RAPIDS, MI 49503-2531
(616) 391-3777
(616) 391-3755
Mailing address
25 MICHIGAN ST NE STE 2100, GRAND RAPIDS, MI 49503-2526
(616) 391-3777
(616) 391-3755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5151015787
MI
208000000X
Pediatrics Physician
5151015787
MI
Other
Enumeration date
04/17/2022
Last updated
04/03/2025
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