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NPI Code Detail

MEDICARE: JORDAN VEITENGRUBER RN

MEDICARE:   JORDAN  VEITENGRUBER  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WE0003XEmergency Registered Nurse4704436677MI

General Provider Information

NPI Number : 1699634915
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN VEITENGRUBER RN
Provider Business Mailing Address
First Line : 229 VALLEY AVE NW
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49504-5468
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 MICHIGAN ST NE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-2560
Country : US
Telephone Number : 616-391-1774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ JORDAN VEITENGRUBER RN” Practice Location

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