Individual
MR. JOSEPH HENRY DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3195 KNIGHT WAY SE, CALVIN COLLEGE SPOELHOF FIELDHOUSE COMPLEX, GRAND RAPIDS, MI 49546-4409
(616) 526-7008
Mailing address
325 LLOYD CT, MIDDLEVILLE, MI 49333-8119
(616) 403-3750
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
01/05/2015
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