Individual
DOUGLAS R. DEHAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27810 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5916
(248) 516-1978
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9600
(605) 328-9620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1919
SD
207Q00000X
Family Medicine Physician
Primary
4301511075
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5607207
—
SD
Enumeration date
06/17/2005
Last updated
04/16/2024
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