Search › Michigan › 103TC0700X
Theodore Jansma, PHD
NPI 1316924525 · on the registry since 2005
Practice
- Address
- 3330 Claystone St Se
Grand Rapids, MI 49546 - Phone
- (616) 942-8060
- Fax
- (616) 942-6690
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-26
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