Individual
MS. BONNIE LOU DEYOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNCNP
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 672-6129
(231) 672-6295
Mailing address
1551 LARAWAY LAKE DR SE, GRAND RAPIDS, MI 49546-6632
(616) 676-9838
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704141758
MI
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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