ISAAC DEATHERAGE

MUSKEGON, MI
NPI1942998810
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  5151016381)
Enumeration Date2023-04-27
Last Update Date2023-04-27
Business Address
ISAAC DEATHERAGE DO, MPH
1675 LEAHY ST STE 315A
MUSKEGON, MI 49442-5543
Phone number: 231-672-8282
Mailing Address
ISAAC DEATHERAGE DO, MPH
1675 LEAHY ST STE 315A
MUSKEGON, MI 49442-5543
Phone number:
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