JACOB ALLEN LYTLE

GRAND RAPIDS, MI
NPI1033644430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: MI  5101025074)
Enumeration Date2017-04-24
Last Update Date2023-09-01
Business Address
JACOB ALLEN LYTLE DO
4100 LAKE DR SE STE 300
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-8860
Mailing Address
JACOB ALLEN LYTLE DO
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: