Jelsema, Russel D

Jelsema, Russel D is an individual health care provider with primary practice located at 221 Michigan St Ne Suite 600, Grand Rapids MI 49503-2543. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Jelsema, Russel D can be contacted via phone (616) 774-7035.

Contact Information

Primary practice address
221 Michigan St Ne Suite 600 Grand Rapids MI 49503-2543
Phone: (616) 774-7035
Fax: (616) 774-4057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X RJ407131 Michigan
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 4301407131 Michigan

Profile Details

NPI number 1588654263
LBN Legal business name Jelsema, Russel D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Sep 1st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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