Individual provider · Type 1 NPI

Jack A. Dekkinga, MD

MOHS-Micrographic Surgery Physician · Wyoming, MI

NPI number 1255365334 Active

Practice location

1673 Gezon Pkwy SW
Wyoming, MI 49519-9519

Fax (616) 243-3377

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000X4301039679 (MI)
MOHS-Micrographic Surgery Physician Primary 207ND0101X5601039679 (MI)

MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…

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About NPI 1255365334

Jack A. Dekkinga, MD's National Provider Identifier is 1255365334, issued on Jul 11, 2006. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Wyoming, MI. The record was last updated on Feb 22, 2022.