Isaac Deatherage, DO, MPH

NPI #1942998810 in Spring Lake, Michigan

Provider Information

NPI Number: 1942998810
Entity Type: Individual
Name: Isaac Deatherage, DO, MPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: DO, MPH
Enumeration Date: Apr 27, 2023
Last Updated: Apr 9, 2025

Practice Location

Address: 18627 144TH AVE
City: Spring Lake
State: Michigan
ZIP Code: 49456-9520
Phone: (918) 814-6422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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