Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Richard Roossien Jr., MD

Individual provider Family Medicine Physician · NPI 1184610669

Dr. Jack Richard Roossien Jr., MD is a Family Medicine Physician in West Olive, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

15151 Stanton St Ste A
West Olive, MI 49460-8543
Phone: (616) 296-1020
Fax: (616) 296-1030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence JR050437 (MI)

Record details

NPI number1184610669
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 21, 2005
Last updated in NPPESJune 7, 2019

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