Organization
100 CHIRO DEHAVEN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORIAN EUGENE DEHAVEN DC (CHIROPRACTOR)
(616) 826-0275
Entity
Organization
Contact information
Practice address
446 RINEHART RD, LAKE MARY, FL 32746-5242
(616) 826-0275
Mailing address
15056 BIGNELL DR, GRAND HAVEN, MI 49417-9139
(616) 826-0275
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/18/2024
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