Mark R Dehaan
Surgeon Surgery of the Hand Plastic Hand Surgeon
1111 Leffingwell Ave Ne Suite 200
Grand Rapids
, Michigan 49525-6406
Mark R Dehaan
Surgeon Surgery of the Hand Plastic Hand Surgeon
1111 Leffingwell Ave Ne Suite 200
Grand Rapids
, Michigan 49525-6406
(616) 464-6170
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About
Features
Specialties
- Surgeon
- Plastic Hand Surgeon
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Mark R Dehaan
- 1111 Leffingwell Ave Ne Suite 200
- Grand Rapids, MI
- Zip : 49525-6406
- Fax : (616) 464-6170
- Phone : (616) 459-7101
Second Address
- Mark R Dehaan
- 1111 Leffingwell Ave Ne Suite 200
- Grand Rapids, MI
- Zip : 49525-6406
- Fax : (616) 464-6170
- Phone : (616) 459-7101
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FAQs
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Is Mark R Dehaan accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 4301044330 | MI |
| N | 208600000X | Surgeon | 4301044330 | MI |
| N | 2082S0105X | Plastic Hand Surgeon | 4301044330 | MI |
| N | 208200000X | Surgeon | 4301044330 | MI |
| N | 208600000X | Surgeon | 4301044330 | MI |
| Y | 2086S0105X | Surgery of the Hand | 4301044330 | MI |
National Provider Identifier
| NPI | 1093707093 |
|---|---|
| Provider Name | Mark R Dehaan |
| First Address | Grand Rapids, MI 49525-6406 |
| Second Address | Grand Rapids, MI 49525-6406 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2005 |
| Last Update Date | 01/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4096420 | (05) | MI |
| B46079 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.