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Jacob Iceberg, DO
NPI 1043836612 · on the registry since 2020
Practice
- Address
- 280 60th St Se # 200
Grand Rapids, MI 49548 - Phone
- (616) 483-0750
Additional practice sites
- 300 Lafayette Ave Se Ste 4000, Grand Rapids, MI
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan