CHARLES SCOTT DEHAAN

ROCKFORD, IL
NPI1144392499
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-064615)
Enumeration Date2006-11-14
Last Update Date2013-12-02
Business Address
Dr. CHARLES SCOTT DEHAAN M.D.
124 N WATER ST 208
ROCKFORD, IL 61107-3960
Phone number: 815-312-5810
Mailing Address
Dr. CHARLES SCOTT DEHAAN M.D.
124 N WATER ST 208
ROCKFORD, IL 61107-3960
Phone number: 815-312-5810
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