person
Jacob Paul Pasternak
Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan
NPI 1518607191

Jacob Paul Pasternak is a Student in an Organized Health Care Education/Training Program based in Grand Rapids, MI. Jacob Paul Pasternak practices in Grand Rapids, MI. The NPI Number for Jacob Paul Pasternak is 1518607191 and holds a License No. (Michigan).

The current practice location address for Jacob Paul Pasternak is 857 Tamarack Ave Nw, Grand Rapids, MI and can be reached out via phone at 989-370-4994.

Location: 857 Tamarack Ave Nw, Grand Rapids, MI, 49504-4321
person
Provider Profile Details
NPI Number
1518607191
Provider Name
Jacob Paul Pasternak
Credential
Provider Entity Type
Individual
Gender
Male
Address
857 Tamarack Ave Nw, Grand Rapids, MI, 49504-4321
Phone Number
989-370-4994
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
857 Tamarack Ave Nw
City
State
Zip
49504-4321
Phone Number
989-370-4994
Fax Number
person
Provider Business Mailing Address Details
Address
857 Tamarack Ave Nw
City
State
Zip
49504-4321
Phone Number
989-370-4994
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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