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Organization
MICHAEL H. VANDERLICK M.D. APMC
Active
Organization
MICHAEL H. VANDERLICK M.D. APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HENRY VANDERLICK M.D. (CHIEF EXECUTOR)
(337) 291-1162
Entity
Organization
Contact information
Practice address
601 W SAINT MARY BLVD, STE. 210, LAFAYETTE, LA 70506-3568
(337) 291-1162
(337) 264-1499
Mailing address
601 W SAINT MARY BLVD, STE. 210, LAFAYETTE, LA 70506-3568
(337) 291-1162
(337) 264-1499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14489R
LA
Other
Enumeration date
07/04/2006
Last updated
09/30/2008
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