Individual
ANDREW DEKKINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1131 IONIA AVE NW, GRAND RAPIDS, MI 49503-1020
(616) 259-7900
(616) 259-7909
Mailing address
1131 IONIA AVE NW, GRAND RAPIDS, MI 49503-1020
(616) 259-7900
(616) 259-7909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704307215
MI
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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