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Eric Randall Dejong, AGACNP
Gerontology Nurse Practitioner in Holland, Michigan
NPI 1629619903

Eric Randall Dejong is a Gerontology Nurse Practitioner based in Grand Rapids, MI and is specialized in Gerontology. Eric Randall Dejong practices in Holland, MI and has the professional credentials of AGACNP. The NPI Number for Eric Randall Dejong is 1629619903 and holds a License No. 4704295254 (Michigan).

The current practice location address for Eric Randall Dejong is 602 Michigan Ave Ste 102, Holland, MI and can be reached out via phone at 616-494-8724.

Location: 602 Michigan Ave Ste 102, Holland, MI, 49503-2560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629619903
Provider Name
Eric Randall Dejong
Credential
AGACNP
Provider Entity Type
Individual
Gender
Male
Address
602 Michigan Ave Ste 102, Holland, MI, 49503-2560
Phone Number
616-494-8724
Fax Number
Provider Enumeration Date
10/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
602 Michigan Ave Ste 102
City
Holland
State
Michigan
Zip
49423-4918
Phone Number
616-494-8724
Fax Number
person
Provider Business Mailing Address Details
Address
602 Michigan Ave Ste 102
City
Holland
State
Michigan
Zip
49423-4918
Phone Number
616-494-8724
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
4704295254 (Michigan)
Definition
Definition to come...
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