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Individual

JAMES VANDENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1730
Mailing address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
(616) 975-1845

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301502743
MI
207P00000X
Emergency Medicine Physician
TMD004841
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/12/2017
Last updated
05/11/2026
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