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Individual

MR. BRIAN HARM DYKHUIZEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
222 FAIRBANKS AVE, HOLLAND, MI 49423-3735
(616) 395-7705
(616) 395-7087
Mailing address
58 WIND STREAM CT, HOLLAND, MI 49424-7631
(616) 298-7004

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000993
OH

Other

Enumeration date
02/27/2007
Last updated
05/08/2012
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