Individual
ETIENNE V DEHOORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5401 MCAULEY DRIVE, YPSILANTI, MI 48197
(734) 786-2300
(734) 786-4915
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, STE J2000, ANN ARBOR, MI 48105
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301054294
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102960544
—
MI
01
—
260H161260
BCBS GRP
MI
Enumeration date
01/15/2007
Last updated
08/28/2023
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