Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark R Dehaan, MD

Individual provider Plastic Surgery Physician · NPI 1093707093

Mark R Dehaan, MD is a Plastic Surgery Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1111 Leffingwell Ave NE Ste 200
Grand Rapids, MI 49525-6406
Phone: (616) 459-7101
Fax: (616) 464-6170
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Specialties & licences

Surgery of the Hand (Surgery) Physician (primary) Taxonomy 2086S0105X · Licence 4301044330 (MI)
Plastic Surgery Physician Taxonomy 208200000X · Licence 4301044330 (MI)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence 4301044330 (MI)
Surgery Physician Taxonomy 208600000X · Licence 4301044330 (MI)

Record details

NPI number1093707093
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 17, 2005
Last updated in NPPESJuly 1, 2016
Mailing address1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525-6406

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