Ralph Jacob Dehaan, O.D.

NPI #1790763811 in Pella, Iowa

Provider Information

NPI Number: 1790763811
Entity Type: Individual
Name: Ralph Jacob Dehaan, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 9, 2006
Last Updated: Dec 12, 2012

Practice Location

Address: 823 FRANKLIN ST
City: Pella
State: Iowa
ZIP Code: 50219-1603
Phone: (641) 628-9225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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