Dr. Jack A Dekkinga, MD
Dr. Jack A Dekkinga, MD is a Dermatology in Wyoming, Michigan. Graduated from University of Michigan Medical School in 1981, 45 years ago. Practices with Wolverine Dermatology PC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 45
- Trained at
- University of Michigan Medical School
- Licensed in
- MI
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1673 Gezon Pkwy SWWyoming, MI 49519-9519
Phone: (616) 243-3376
Fax: (616) 243-3377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence 5601039679 (MI) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence 4301039679 (MI) |
Record details
| NPI number | 1255365334 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 11, 2006 |
| Last updated in NPPES | February 22, 2022 |
| Certification date | February 22, 2022 |
| Mailing address | 1673 Gezon Pkwy Sw, Wyoming, MI 49519-9519 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduated | 1981 (45 years in practice) |
| Group practice | Wolverine Dermatology Pc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Wyoming
-
Dr. Ryan Dale Freeland, MD
1673 Gezon Pkwy SW, Wyoming, MI 49519 · (616) 893-6324
-
Kathryn Arnold Leonard, MD
5900 Byron Center Ave SW, Wyoming, MI 49519-9606 · (616) 252-7200
-
Wolverine Dermatology, PC
1673 Gezon Pkwy SW, Wyoming, MI 49519-9519 · (616) 243-3376