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Individual
DR. SCOTT LESLIE VANDEVORDE
Active
Individual
DR. SCOTT LESLIE VANDEVORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901001567
MI
213E00000X
Podiatrist
Primary
SV001569
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4857059590
BCBS
MI
Enumeration date
10/19/2005
Last updated
07/13/2026
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