Jacob Rozema

NPI #1962850057 in Jenison, Michigan

Provider Information

NPI Number: 1962850057
Entity Type: Individual
Name: Jacob Rozema
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: May 30, 2016
Last Updated: May 30, 2016

Practice Location

Address: 1050 GLENWOOD ST
City: Jenison
State: Michigan
ZIP Code: 49428-9267
Phone: (616) 457-2515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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