Individual
DR. CONNIE MAY VERHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
755 SEMINOLE RD., SUITE 101, MUSKEGON, MI 49441
(231) 780-3200
(231) 780-3299
Mailing address
755 SEMINOLE RD., SUITE 101, MUSKEGON, MI 49441
(231) 780-3200
(231) 780-3299
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14475
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4341269
—
MI
Enumeration date
11/02/2006
Last updated
07/08/2007
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