Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON BARRETT VAN ITTERSUM, M.D.
ActiveDermatology · NORTON SHORES, MI
Registration Details
- NPI Number
- 1750303079
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2006 (19.744434871391 yrs)
- Last Updated
- Mar 28, 2024
- Licenses
-
JV074360 (MI)4301074360 (MI)
Practice Information
- Address
-
6225 PRAIRIE STNORTON SHORES, MI, 494447831Browse MI providers · Browse ZIP 49444
- Phone
- 2317989500
- Fax
- 2317989533
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in NORTON SHORES, MI
| Name | Credential | NPI |
|---|---|---|
| ROBERT A GIELCZYK | MD | 1891708590 |
| TIMOTHY S WANG | MD | 1508954330 |
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.