Jacqueline R Custer
Jacqueline R Custer is a Family Medicine Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2026.
- Licensed in
- MI
- In the registry since
- 2026
Practice location Address checks out
200 Jefferson Ave SEGrand Rapids, MI 49503-4502
Phone: (616) 685-6922
Fax: (616) 685-5192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 5151017964 (MI) |
|---|
Record details
| NPI number | 1558298083 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 7, 2026 |
| Last updated in NPPES | May 7, 2026 |
| Certification date | May 7, 2026 |
| Mailing address | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
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