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

Jesse G Van Heukelom, MD

Individual provider Pediatrics Physician · NPI 1669783130

Jesse G Van Heukelom, MD is a Pediatrics Physician in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2010
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

100 Michigan St NE MC#13
Grand Rapids, MI 49503-2560
Phone: (616) 391-9377
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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 4301096913 (MI)

Record details

NPI number1669783130
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 29, 2010
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 28, 2020
Mailing address100 Michigan St Ne, Mc#13, Grand Rapids, MI 49503-2560

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