DR. Jason Barrett Van Ittersum, M.D.

NPI #1750303079 in Norton Shores, Michigan

Provider Information

NPI Number: 1750303079
Entity Type: Individual
Name: DR. Jason Barrett Van Ittersum, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Jul 24, 2006
Last Updated: Mar 28, 2024

Practice Location

Address: 6225 PRAIRIE ST
City: Norton Shores
State: Michigan
ZIP Code: 49444-7831
Phone: (231) 798-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology	207N00000X	Primary

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