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

Jared William Doezema, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811578750

Jared William Doezema, MD is a Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

733 Alger St SE
Grand Rapids, MI 49507-3530
Phone: (616) 243-9515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4351048540 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811578750
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2021
Last updated in NPPESJune 7, 2024
Certification dateJune 10, 2022
Mailing address733 Alger St Se, Grand Rapids, MI 49507-3530

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