JACOB ICEBERG

GRAND RAPIDS, MI
NPI1043836612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  5101026922)
Enumeration Date2020-06-19
Last Update Date2023-07-18
Business Address
JACOB ICEBERG DO
280 60TH ST SE # 200
GRAND RAPIDS, MI 49548-8504
Phone number: 616-483-0750
Mailing Address
JACOB ICEBERG DO
280 60TH ST SE # 200
GRAND RAPIDS, MI 49548-8504
Phone number: 616-483-0750
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