DR. Charles Scott Dehaan, M.D.

NPI #1144392499 in Rockford, Illinois

Provider Information

NPI Number: 1144392499
Entity Type: Individual
Name: DR. Charles Scott Dehaan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Nov 14, 2006
Last Updated: Dec 2, 2013

Practice Location

Address: 124 N WATER ST
Address 2: 208
City: Rockford
State: Illinois
ZIP Code: 61107-3960
Phone: (815) 312-5810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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