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Dr. Jack A Dekkinga, MD
MOHS-Micrographic Surgery Physician in Wyoming, Michigan
NPI 1255365334

Jack A Dekkinga is a MOHS-Micrographic Surgery Physician based in Wyoming, MI and is specialized in MOHS-Micrographic Surgery. Jack A Dekkinga practices in Wyoming, MI and has the professional credentials of MD. The NPI Number for Jack A Dekkinga is 1255365334 and holds a License No. 4301039679 (Michigan).

The current practice location address for Jack A Dekkinga is 1673 Gezon Pkwy Sw, Wyoming, MI and can be reached out via phone at 616-243-3376 and via fax at 616-243-3377.

Location: 1673 Gezon Pkwy Sw, Wyoming, MI, 49519-9519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255365334
Provider Name
Jack A Dekkinga
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1673 Gezon Pkwy Sw, Wyoming, MI, 49519-9519
Phone Number
616-243-3376
Fax Number
616-243-3377
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
070D16223 01 MI BCBS MI
DX9137 01 MEDICARE RR GROUP
1255365334 05 MI
MI11296 01 MEDICARE PTAN GROUP
institution
Provider Business Practice Location Address Details
Address
1673 Gezon Pkwy Sw
City
Wyoming
State
Michigan
Zip
49519-9519
Phone Number
616-243-3376
Fax Number
616-243-3377
person
Provider Business Mailing Address Details
Address
1673 Gezon Pkwy Sw
City
Wyoming
State
Michigan
Zip
49519-9519
Phone Number
616-243-3376
Fax Number
616-243-3377
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
5601039679 (Michigan)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
MOHS-Micrographic Surgery
Taxonomy
207ND0101X
License No.
4301039679 (Michigan)
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
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