Individual
KATELIN ELIZABETH DEKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 N MAPLE ST, FENNVILLE, MI 49408-8478
(269) 561-8761
Mailing address
3321 HERITAGE S, HAMILTON, MI 49419-9600
(231) 233-1739
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704293520
MI
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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