Individual
GLEN VANDERSCHAAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1150 E SHERMAN BLVD STE 1175, MUSKEGON, MI 49444-1885
(231) 672-6740
(231) 672-6787
Mailing address
PO BOX 1848, MUSKEGON, MI 49443-1848
(231) 672-2119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704305626
MI
Other
Enumeration date
03/12/2019
Last updated
12/08/2021
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