JACOB MATTHEW UTASH

GRAND RAPIDS, MI
NPI1598050163
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301098739)
Enumeration Date2011-06-12
Last Update Date2016-01-07
Business Address
Dr. JACOB MATTHEW UTASH M.D.
80 68TH ST SE
GRAND RAPIDS, MI 49548-6980
Phone number: 616-391-8242
Mailing Address
Dr. JACOB MATTHEW UTASH M.D.
100 MICHIGAN ST NE # MC-845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-8242
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