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MAX DEHAAN
NPI 1790364990
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 05, 2021
4201 SAINT ANTOINE ST # UHC, DETROIT, MI 48201(605) 553-1108 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Max Dehaan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAX DEHAAN (NPI 1790364990) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1790364990
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAX DEHAAN
Location Address4201 SAINT ANTOINE ST # UHCDetroit, MI 48201-2153
Mailing Address616 E 28th StSioux Falls, SD 57105-3123 · (605) 553-1108
Phone(605) 553-1108
Sole ProprietorYes
Enumeration DateApril 5, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1790364990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 SAINT ANTOINE ST # UHC, Detroit, MI 48201
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEQUISHIA ALEXANDER M.D
Internal Medicine
4201 SAINT ANTOINE ST # UHC, WAYNE STATE UNIVERSITY/DETROIT MEDICAL CENTER, DEPARTME
DETROIT, MI 48201
Wayne County (313) 745-4832
DR. BRADLEY SEABRON WILKINS M.D.
Internal Medicine
4201 SAINT ANTOINE ST # UHC, WAYNE STATE UNIVERSITY/ DEPARTMENT INTERNAL MEDICINE
DETROIT, MI 48201
Wayne County (202) 247-0462
JOHN PELEMAN
Otolaryngology
4201 SAINT ANTOINE ST # UHC
DETROIT, MI 48201
Wayne County (313) 577-0804
MRS. TEDEAN KARISSA GREEN
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # UHC, DEPARTMENT OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY
DETROIT, MI 48201
Wayne County (269) 924-9783
JUSTIN GRAFF
Otolaryngology
4201 SAINT ANTOINE ST # UHC
DETROIT, MI 48201
Wayne County (313) 577-0804
ELLIOTT STRAUSS TROTT MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # UHC
DETROIT, MI 48201
Wayne County (313) 577-0804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Max Dehaan's NPI number?

The NPI number for Max Dehaan is 1790364990. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Max Dehaan located?

Max Dehaan practices at 4201 Saint Antoine St # Uhc, Detroit, MI 48201. The listed phone number is (605) 553-1108.

What is Max Dehaan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Max Dehaan was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.