Russell Lee Dykstra, M.D. Valid NPI

Individual provider · Family Medicine Physician · Holland, MI

NPI

1225091333

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

RD407281 (MI)

Sex

Male

Sole proprietor

No

Enumerated

2006-04-10

Last updated

2007-07-08