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Individual

JOHN VANSCHAGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 LAFAYETTE AVE SE, SUITE 4200, GRAND RAPIDS, MI 49503-4650
(616) 685-6922
(616) 685-5105
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
(616) 685-1850

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301056908
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3051068
MI
05
3486735
MI
05
4595743
MI
05
4810840
MI
05
4877071
MI
05
4877670
MI
Enumeration date
05/26/2006
Last updated
12/16/2021
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