Surgery Yellow Pages

General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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MARK R DEHAAN MD

Surgery Yellow Pages

Grand Rapids, Michigan

Provider NPI: 1093707093

Provider Information:
 MARK R DEHAAN MD


Practice Location:
1111 LEFFINGWELL AVE NE SUITE 200 GRAND RAPIDS, MI 49525 US
Tel: 616-459-7101  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N208200000XPhysicians
Plastic Surgery
MI4301044330
N2082S0105XPhysicians
Plastic Surgery
MI4301044330
N208600000XPhysicians
Surgery
MI4301044330
Y2086S0105XPhysicians
Surgery
MI4301044330

Other Provider Identifiers:

IssuerNumberStateType
4096420MI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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