Individual provider · Type 1 NPI

Jacob Iceberg, DO

Family Medicine Physician · Grand Rapids, MI

NPI number 1043836612 Active

Practice location

280 60th St SE # 200
Grand Rapids, MI 49548-8504

Call (616) 483-0750 Map

Other practice locations

  • 300 Lafayette Ave SE Ste 4000, Grand Rapids, MI 49503-4692 · (616) 685-6922

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X5101026922 (MI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1043836612

Jacob Iceberg, DO's National Provider Identifier is 1043836612, issued on Jun 19, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 18, 2023.