Individual
DR. JEREMY JAMES KUIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 W OAK ST, FREMONT, MI 49412-1526
(231) 924-4200
(616) 267-9046
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301099386
MI
208600000X
Surgery Physician
MT198007
PA
Other
Enumeration date
06/03/2010
Last updated
03/02/2021
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