Organization
DELMER JOHN DEHART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEL J DEHART MD (OWNER)
(989) 860-4735
Entity
Organization
Contact information
Practice address
2135 LONE RD, FREELAND, MI 48623-8878
(989) 860-4735
Mailing address
3061 CHRISTY WAY, C/O PRO MED BILLING, SAGINAW, MI 48603-2267
(989) 791-2455
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301406760
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4174151
—
MI
Enumeration date
05/24/2006
Last updated
02/16/2010
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