Individual
MERIN DEKRUYTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-6970
Mailing address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7482
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005337
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101005337
—
MI
Enumeration date
12/19/2018
Last updated
12/19/2018
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