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Jacob Iceberg, DO
Family Medicine Physician in Grand Rapids, Michigan
NPI 1043836612

Jacob Iceberg is a Family Medicine Physician based in Grand Rapids, MI. Jacob Iceberg practices in Grand Rapids, MI and has the professional credentials of DO. The NPI Number for Jacob Iceberg is 1043836612 and holds a License No. 5101026922 (Michigan).

The current practice location address for Jacob Iceberg is 280 60Th St Se # 200, Grand Rapids, MI and can be reached out via phone at 616-483-0750.

Location: 280 60Th St Se # 200, Grand Rapids, MI, 49548-8504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043836612
Provider Name
Jacob Iceberg
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
280 60Th St Se # 200, Grand Rapids, MI, 49548-8504
Phone Number
616-483-0750
Fax Number
Provider Enumeration Date
06/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
280 60Th St Se # 200
City
Grand Rapids
State
Michigan
Zip
49548-8504
Phone Number
616-483-0750
Fax Number
person
Provider Business Mailing Address Details
Address
280 60Th St Se # 200
City
Grand Rapids
State
Michigan
Zip
49548-8504
Phone Number
616-483-0750
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5101026922 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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