Mark R Dehaan in Grand Rapids - Surgery Of The Hand
Mark R Dehaan - NPI 1093707093
Mark R Dehaan is a Surgery Of The Hand in Grand Rapids, Michigan. Mark R Dehaan practices all healthcare services and medical treatments related to Surgery Of The Hand. The NPI Number for Mark R Dehaan is 1093707093. The last update date is 2016-07-01.
Mark R Dehaan's current location address is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164597101 and fax number 6164646170. The mailing address for Mark R Dehaan is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark R Dehaan |
|---|---|
| Address | 1111 Leffingwell Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6164597101 |
| Fax Number | 6164646170 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093707093 |
|---|---|
| Provider Enumeration Date | 2005-08-17 |
| Last Updated Date | 2016-07-01 |
Provider Mailing Address Detail
| Address | 1111 Leffingwell Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495256406 |
| Phone Number | 6164597101 |
| Fax Number | 6164646170 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery Of The Hand |
|---|---|
| Taxonomy | 2086S0105X |
| Licence No | 4301044330 |
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Definition: A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4096420 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark R Dehaan by the Centers for Medicare & Medicaid Services (CMS)?
The Mark R Dehaan has been assigned the NPI (National Provider Identifier) 1093707093. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Mark R Dehaan is geographically located?
The Mark R Dehaan is physically situated at the following location: 1111 Leffingwell Ave Ne, Grand Rapids, MI, 495256406.
What is Mark R Dehaan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark R Dehaan is Surgery Of The Hand, and the corresponding taxonomy classification code for this specialized field is 2086S0105X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093707093 to Mark R Dehaan?
The Centers for Medicare & Medicaid Services originally issued the 1093707093 to Mark R Dehaan on 2005-08-17.
When was the Mark R Dehaan's information last updated?
The Mark R Dehaan's information was last updated on 2016-07-01.
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