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Isaac Deatherage, DO, MPH

NPI 1942998810 · on the registry since 2023 · sole proprietor

Practice

Address
18627 144th Ave
Spring Lake, MI 49456
Phone
(918) 814-6422

Registry record

Primary taxonomy
208D00000X
208D00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-09

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