Individual
JOHN DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3912 32ND AVE, HUDSONVILLE, MI 49426-8460
(616) 252-8700
(616) 252-8750
Mailing address
5900 BYRON CENTER AVE SW, ATTN: MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013345
MI
Other
Enumeration date
10/07/2005
Last updated
12/01/2017
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