DANIEL J. DERKSEN

EAST LANSING, MI
NPI1275735029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MI  2901019585)
Enumeration Date2007-06-04
Last Update Date2007-07-08
Business Address
Dr. DANIEL J. DERKSEN
714 ABBOTT RD
EAST LANSING, MI 48823-3101
Phone number: 517-337-0351
Mailing Address
Dr. DANIEL J. DERKSEN
714 ABBOTT RD
EAST LANSING, MI 48823-3101
Phone number: 517-337-0351