Individual
KIMBERLY VANDAHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
826 FOREST AVE, FRANKFORT, MI 49635-9003
(231) 352-5285
(231) 352-6384
Mailing address
6227 FRANKFORT HWY, BENZONIA, MI 49616-8632
(231) 882-9661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007351
MI
Other
Enumeration date
09/24/2015
Last updated
10/25/2017
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