Individual
JACK NEERKEN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3353 LOUSMA DRIVE SE, WYOMING, MI 49548-2251
(616) 454-7077
Mailing address
2750 BARFIELD DRIVE SE, GRAND RAPIDS, MI 49546-5570
(616) 308-7826
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301024768
MI
Other
Enumeration date
05/25/2007
Last updated
09/07/2007
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