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Individual

DANIEL H DEHAAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
319 E MICHIGAN AVE, PAW PAW, MI 49079-1426
(269) 657-4440
(269) 655-2952
Mailing address
603 MARKETPLACE BLVD, KALAMAZOO, MI 49001-2231
(269) 491-3188

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038638
MI

Other

Enumeration date
02/19/2012
Last updated
02/21/2012
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