| Wendy Dykstra Llc | |
|
16081 64th St South Haven MI 49090-7712 | |
| (269) 910-6889 | |
| Not Available |
| Full Name | Wendy Dykstra Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 16081 64th St, South Haven, Michigan |
| Authorized Official Name and Position | Wendy Dykstra (OWNER) |
| Authorized Official Contact | 2699106889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Dykstra Llc 16081 64th St South Haven MI 49090-7712 Ph: (269) 910-6889 | Wendy Dykstra Llc 16081 64th St South Haven MI 49090-7712 Ph: (269) 910-6889 |
| NPI Number | 1821690298 |
|---|---|
| Provider Enumeration Date | 11/11/2020 |
| Last Update Date | 11/11/2020 |
| Certification Date | 11/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821690298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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