Individual
JAMES A VANHAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2716 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6139
(616) 975-0700
Mailing address
PO BOX 1969, GRAND RAPIDS, MI 49501-1969
(800) 968-6866
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4301054556
MI
2084P0800X
Psychiatry Physician
Primary
43010545
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3349576
—
MI
Enumeration date
12/06/2005
Last updated
06/13/2022
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