Individual
MR. PAUL DYKEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
926 S WASHINGTON AVE, HOLLAND, MI 49423-7725
(616) 393-0166
Mailing address
A-6341 145TH AVE, HOLLAND, MI 49423-8978
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301025812
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301025812
BOARD OF PHARMACY
MI
Enumeration date
02/13/2006
Last updated
03/07/2023
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