Individual
MEGAN RACHELLE VANDERKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 PROSPECT AVE NE, GRAND RAPIDS, MI 49503-3379
(616) 826-3174
Mailing address
119 PROSPECT AVE NE, GRAND RAPIDS, MI 49503-3379
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009229
MI
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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