Jack Dekkinga, MD

NPI 1255365334 · on the registry since 2006

Practice

Address: 1673 Gezon Pkwy Sw
Wyoming, MI 49519
Phone: (616) 243-3376
Fax: (616) 243-3377
Organisation at this address: Wolverine Dermatology, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207ND0101X
207ND0101X
Also registered as: 207N00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-02-22

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