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Individual

DR. JOHN DUSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
5164 LAKE MICHIGAN DR STE D, ALLENDALE, MI 49401-8506
(616) 777-0309
Mailing address
5164 LAKE MICHIGAN DR STE D, ALLENDALE, MI 49401-8506
(616) 777-0309

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010631
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1275788374
STATE OF MICHIGAN
MI
01
1689913618
STATE OF MICHIGAN
MI
Enumeration date
07/06/2018
Last updated
07/06/2018
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