Individual
DR. JOHN KENNETH DEKOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
5838 METRO WAY SW, WYOMING, MI 49519-9619
(616) 249-5300
Mailing address
5838 METRO WAY SW, WYOMING, MI 49519-9619
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704302037
MI
Other
Enumeration date
03/21/2019
Last updated
03/26/2024
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