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Isaac Deatherage, DO,MPH
Student in an Organized Health Care Education/Training Program in Muskegon, Michigan
NPI 1942998810

Isaac Deatherage is a Student in an Organized Health Care Education/Training Program based in Muskegon, MI. Isaac Deatherage practices in Muskegon, MI and has the professional credentials of DO,MPH. The NPI Number for Isaac Deatherage is 1942998810 and holds a License No. 5151016381 (Michigan).

The current practice location address for Isaac Deatherage is 1675 Leahy St Ste 315A, Muskegon, MI and can be reached out via phone at 231-672-8282.

Location: 1675 Leahy St Ste 315A, Muskegon, MI, 49442-5543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942998810
Provider Name
Isaac Deatherage
Credential
DO,MPH
Provider Entity Type
Individual
Gender
Male
Address
1675 Leahy St Ste 315A, Muskegon, MI, 49442-5543
Phone Number
231-672-8282
Fax Number
Provider Enumeration Date
04/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1675 Leahy St Ste 315A
City
Muskegon
State
Michigan
Zip
49442-5543
Phone Number
231-672-8282
Fax Number
person
Provider Business Mailing Address Details
Address
1675 Leahy St Ste 315A
City
Muskegon
State
Michigan
Zip
49442-5543
Phone Number
231-672-8282
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5151016381 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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