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Organization
NORTHWOODS INTERNAL MEDICINE, P.C.
Active
Organization
NORTHWOODS INTERNAL MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J VANDERVEEN DO (OWNER)
(989) 362-9551
Entity
Organization
Contact information
Practice address
312 M 55 W, TAWAS CITY, MI 48763-9253
(989) 362-9551
Mailing address
3061 CHRISTY WAY, SAGINAW, MI 48603-2267
(989) 791-2455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101011670
MI
Other
Enumeration date
06/08/2006
Last updated
09/28/2007
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