Benjamin James Dehaan, CRNA
Nurse Anesthetist, Certified Registered in Cadillac, MI. Individual provider (NPI-1).
NPI number1700540663
StatusActive
Last updated in NPPESJul 14, 2026
Details
- NPI
- 1700540663
- Entity type
- Individual (NPI-1)
- Name
- Benjamin James Dehaan
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2021
- Certification date
- Jul 14, 2026
- Last updated
- Jul 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 34242 | TN | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 1700540663 | MI |
Practice location
400 Hobart StCadillac, MI 49601-2331
Phone 231-876-7301 · Fax 231-876-7310
Mailing address
1105 Sixth StTraverse City, MI 49684-2345
Phone 231-935-5000
Other practice locations
315 Hospital Dr
Madison, TN 37115-5030
Madison, TN 37115-5030
Phone 615-868-6503
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