Individual
BENJAMIN JAMES DEHAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7301
(231) 876-7310
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
203406
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
1700540663
MI
Other
Enumeration date
10/27/2021
Last updated
06/10/2022
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