Individual
DR. JEFFREY THEODORE VANGELDEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
248 WASHINGTON AVE, SUITE A, BAY CITY, MI 48708-5848
(989) 892-5664
(989) 892-0662
Mailing address
248 WASHINGTON AVE, SUITE A, BAY CITY, MI 48708-5848
(989) 892-5664
(989) 892-0662
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301405970
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418136
—
MI
05
—
3419062
—
MI
Enumeration date
07/07/2005
Last updated
12/19/2023
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