1255365334 Dr. Jack A Dekkinga, MD
MOHS-Micrographic Surgery Physician
Active
Basic Information
- Full Name
- Dr. Jack A Dekkinga, MD
- Gender
- Male
- Enumeration Date
- July 11, 2006
- Last Update
- February 22, 2022
Practice Location
- Address
- 1673 GEZON PKWY SW
WYOMING, MI 495199519 - Phone
- (616) 243-3376
- Fax
- (616) 243-3377
Mailing Address
- Address
- 1673 GEZON PKWY SW
WYOMING, MI 495199519 - Phone
- (616) 243-3376
- Fax
- (162) 433-3776
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Dermatology | 4301039679 | MI | No |
| MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery | 207ND0101X | Dermatology | 5601039679 | MI | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070D16223 | 01 | MI | BCBS MI |
| DX9137 | 01 | N/A | MEDICARE RR GROUP |
| 1255365334 | 05 | MI | N/A |
| MI11296 | 01 | N/A | MEDICARE PTAN GROUP |
Digital Endpoints
OTHERS Use: HIE
EZDerm
EMR system
Affiliation: Wolverine Dermatology, PC
Frequently Asked Questions
What is Dr. Jack A Dekkinga, MD's NPI number?
Dr. Jack A Dekkinga, MD's NPI number is 1255365334.
Which doctor has NPI number 1255365334?
The doctor with NPI number 1255365334 is Dr. Jack A Dekkinga, MD.
What is Dr. Jack A Dekkinga, MD's practice address?
Dr. Jack A Dekkinga, MD's practice address is 1673 GEZON PKWY SW, WYOMING, MI, 495199519.
Which doctor practices at 1673 GEZON PKWY SW, WYOMING, MI, 495199519?
Dr. Jack A Dekkinga, MD practices at 1673 GEZON PKWY SW, WYOMING, MI, 495199519.
What is Dr. Jack A Dekkinga, MD's phone number?
Dr. Jack A Dekkinga, MD's phone number is (616) 243-3376.
Who is (616) 243-3376?
(616) 243-3376 is the phone number for Dr. Jack A Dekkinga, MD.
What is Dr. Jack A Dekkinga, MD's specialty?
Dr. Jack A Dekkinga, MD's specialty is MOHS-Micrographic Surgery Physician.
What type of doctor is Dr. Jack A Dekkinga, MD?
Dr. Jack A Dekkinga, MD is a MOHS-Micrographic Surgery Physician.
Is Dr. Jack A Dekkinga, MD a MOHS-Micrographic Surgery?
Yes, Dr. Jack A Dekkinga, MD is a MOHS-Micrographic Surgery.
Is Dr. Jack A Dekkinga, MD still practicing?
Yes, Dr. Jack A Dekkinga, MD is currently practicing.
Is Dr. Jack A Dekkinga, MD accepting new patients?
Dr. Jack A Dekkinga, MD may be accepting new patients. Please call their office at (616) 243-3376 to inquire about availability.
Is NPI 1255365334 still active?
Yes, NPI 1255365334 is currently active.
Where does Dr. Jack A Dekkinga, MD practice?
Dr. Jack A Dekkinga, MD practices in WYOMING, MI.
Is Dr. Jack A Dekkinga, MD a male or female doctor?
Dr. Jack A Dekkinga, MD is a male doctor.