Individual
MR. RANDY LEE DENOOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA CBIS
Contact information
Practice address
3280 MICHAEL AVE SW, WYOMING, MI 49509-2738
(616) 531-9060
(616) 531-0637
Mailing address
3280 MICHAEL AVE SW, WYOMING, MI 49509-2738
(616) 531-9060
(616) 531-0637
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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