Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK A DEKKINGA, MD
ActiveDR. JACK A DEKKINGA, MD is a Obesity Medicine healthcare provider located in WYOMING, Michigan. NPI 1255365334 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · WYOMING, MI
Registration Details
- NPI Number
- 1255365334
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2006 (20.117427133631 yrs)
- Last Updated
- Feb 22, 2022
- Licenses
-
4301039679 (MI)5601039679 (MI)
Practice Information
- Address
-
1673 GEZON PKWY SWWYOMING, MI, 495199519Browse MI providers · Browse ZIP 49519
- Phone
- 6162433376
- Fax
- 6162433377
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Obesity Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.