ISAAC DEATHERAGE

SPRING LAKE, MI
NPI1942998810
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: MI  5101028511)
Enumeration Date2023-04-27
Last Update Date2025-04-09
Business Address
ISAAC DEATHERAGE DO, MPH
18627 144TH AVE
SPRING LAKE, MI 49456-9520
Phone number: 918-814-6422
Mailing Address
ISAAC DEATHERAGE DO, MPH
18627 144TH AVE
SPRING LAKE, MI 49456-9520
Phone number: 918-814-6422