SearchMichigan183500000X

Michael Deboer

NPI 1306175468 · on the registry since 2009 · sole proprietor

Practice

Address
3876 E Paris Ave Se
Suite 13
Grand Rapids, MI 49512
Phone
(616) 977-9700
Fax
(616) 855-0937
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan