Individual
DR. PETER J VANDERMEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
577 MICHIGAN AVE, SUITE 101, HOLLAND, MI 49423-4911
(616) 393-2190
(616) 393-0147
Mailing address
577 MICHIGAN AVE, SUITE 101, HOLLAND, MI 49423-4911
(616) 393-2190
(616) 393-0147
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301069337
MI
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
4301069337
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5177345
—
MI
Enumeration date
12/29/2005
Last updated
07/29/2015
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