Individual
MR. DOUGLAS LEE VANDER WOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 LYON ST NW, STE 700, GRAND RAPIDS, MI 49503-2210
(616) 451-4500
(616) 451-9077
Mailing address
220 LYON ST NW, STE 700, GRAND RAPIDS, MI 49503-2210
(616) 451-4500
(616) 451-9077
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301407024
MI
Other
Enumeration date
06/13/2005
Last updated
05/11/2020
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