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Search › Michigan › 363LA2100X

Jack Kooienga, APRN

NPI 1518216308 · on the registry since 2012

Practice

Address
5900 Byron Center Ave Sw
Wyoming, MI 49519
Phone
(616) 252-7200
Fax
(616) 252-7830
Organisation at this address
Metropolitan Hospital
Metropolitan Hospital
Metropolitan Hospital
Metropolitan Hospital
Metropolitan Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
385

Additional practice sites

  • 601 E Rollins St, Orlando, FL

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
363LC0200X
Licence states on file
MI, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-09

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