Individual
DAVID DELISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5356 N MERIDIAN RD, HOPE, MI 48628-9784
(989) 689-0069
(989) 246-0820
Mailing address
PO BOX 576, BEAVERTON, MI 48612-0576
(989) 689-0069
(989) 246-0820
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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