Individual
DR. MICHELLE H VANDENBOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4835 S DURANGO DR, LAS VEGAS, NV 89147-8171
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26503
NV
207Q00000X
Family Medicine Physician
ME82296
FL
Other
Enumeration date
10/03/2007
Last updated
11/19/2024
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