NPI 1003160979

Randy Lee Denooyer, BACBIS

Practitioner Rehabilitation Practitioner Wyoming, MI

Practice location

Address: 3280 Michael Ave SW, Wyoming, MI 49509-2738
Phone: (616) 531-9060
Fax: (616) 531-0637

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1003160979
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2012
Record last updated: 31 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.