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NPI Code Detail

MEDICARE: DR. DANA BETH HUISMAN D.C.

MEDICARE: DR. DANA BETH HUISMAN D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2301010337MI

General Provider Information

NPI Number : 1205212719
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANA BETH HUISMAN D.C.
Provider Business Mailing Address
First Line : 84 E LAKEWOOD BLVD
Second Line :
City : HOLLAND
State : MI
Zip : 49424-2000
Country : US
Telephone Number : 616-392-2166
Fax Number : 616-396-0589
Provider Business Practice Location Address
First Line : 84 E LAKEWOOD BLVD
Second Line :
City : HOLLAND
State : MI
Zip : 49424-2000
Country : US
Telephone Number : 616-392-2166
Fax Number : 616-396-0589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2015
Last Update Date : 08/06/2015

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Directions to “ DR. DANA BETH HUISMAN D.C.” Practice Location

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