KIRK ALLEN DEHERDER

LAKE ORION, MI
NPI1871181875
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704327543)
Enumeration Date2021-01-05
Last Update Date2022-02-23
Business Address
Mr. KIRK ALLEN DEHERDER FNP-BC
1455 S LAPEER RD STE 100
LAKE ORION, MI 48360-1468
Phone number: 248-693-3551
Mailing Address
Mr. KIRK ALLEN DEHERDER FNP-BC
1455 S LAPEER RD STE 100
LAKE ORION, MI 48360-1468
Phone number: 248-693-3551