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Jack A Dekkinga Md Pc
Dermatology Physician in Grandville, Michigan
NPI 1609896034

Jack A Dekkinga Md Pc is a Dermatology Physician based in Grandville, MI. Jack A Dekkinga Md Pc practices in Grandville, MI. The NPI Number for Jack A Dekkinga Md Pc is 1609896034 and holds a License No. 4301039679 (Michigan).

The current practice location address for Jack A Dekkinga Md Pc is 3434 Rivertown Point Ct Sw, Grandville, MI and can be reached out via phone at 616-257-3344 and via fax at 616-257-1491.

Location: 3434 Rivertown Point Ct Sw, Grandville, MI, 49418-3076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609896034
Provider Name
Jack A Dekkinga Md Pc
Credential
Provider Entity Type
Organization
Address
3434 Rivertown Point Ct Sw, Grandville, MI, 49418-3076
Phone Number
616-257-3344
Fax Number
616-257-1491
Provider Enumeration Date
07/20/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
070D16223 01 MI BCBS OF MICHIGAN
CI2832 01 NV MEDICARE RAILROAD GROUP
0N86210 01 MI MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
3434 Rivertown Point Ct Sw
City
Grandville
State
Michigan
Zip
49418-3076
Phone Number
616-257-3344
Fax Number
616-257-1491
person
Provider Business Mailing Address Details
Address
3434 Rivertown Point Ct Sw
City
Grandville
State
Michigan
Zip
49418-3076
Phone Number
616-257-3344
Fax Number
616-257-1491
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
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Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
4301039679 (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.
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