National Provider Identifier Database

RUSSEL D JELSEMA, MD – NPI #1588654263
Maternal & Fetal Medicine

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.


Contact Information

RUSSEL D JELSEMA, MD
221 MICHIGAN ST NE
SUITE 600
GRAND RAPIDS, MI49503-2543
Phone: 616-774-7035
Fax: 616-774-4057
Website:
Specialty Taxonomy Code
* Maternal & Fetal Medicine 207VM0101X
Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for RUSSEL D JELSEMA

NPI Number 1588654263
Credentials MD
Entity Individual
Enumeration date 10/25/2005
Last updated 09/01/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 4301407131
  • MI License #: RJ407131
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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