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Jerome Bekker, DO

Family Medicine in Canton, MI. Individual provider (NPI-1).

NPI number1336105014
StatusActive
Last updated in NPPESFeb 17, 2011

Details

NPI
1336105014
Entity type
Individual (NPI-1)
Name
Jerome Bekker
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 22, 2006
Last updated
Feb 17, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineJB010278MIYes

Practice location

44633 Joy Rd Ste 100
Canton, MI 48187-1731

Phone 734-453-5360 · Fax 734-453-5380

Mailing address

Po Box 700890
Plymouth, MI 48170-0955

Phone 734-453-5360 · Fax 734-453-5380

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