Individual
JEFF ALAN GIETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
588 E LAKEWOOD BLVD FL 2, HOLLAND, MI 49424-2023
(616) 494-5810
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704287280
MI
Other
Enumeration date
11/06/2018
Last updated
02/27/2024
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