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Individual

DANIEL A DETHMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
958 S SHORE DR, HOLLAND, MI 49423-4539
(217) 366-5201
Mailing address
958 S SHORE DR, HOLLAND, MI 49423-4539

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036078172
IL

Other

Enumeration date
05/17/2006
Last updated
10/14/2016
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