NPI 1033172184

Jeffrey M Ricketts, DO

Practitioner Anesthesiology Physician Grand Rapids, MI

Practice location

Address: 3333 Evergreen Dr NE, Grand Rapids, MI 49525-9756
Phone: (616) 364-4200
Fax: (616) 364-7347

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 5101008399 (MI)

Other Anesthesiology providers in Michigan →

Registry record

NPI: 1033172184
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2006
Record last updated: 3 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.