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Organization

CRAIG N BADE MD

Active
Other names
HOLLAND SKIN AND VEIN CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KRISTI JOY HAVERDINK (PRACTICE MANAGER)
(616) 396-1433
Entity
Organization

Contact information

Practice address
29 W 8TH ST, STE 220, HOLLAND, MI 49423-3185
(616) 396-1433
(616) 396-9643
Mailing address
29 W 8TH ST, STE 220, HOLLAND, MI 49423-3185
(616) 396-1433
(616) 396-9643

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301008394
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
4301039774
MI
363L00000X
Nurse Practitioner
4704233966
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871743898
MI
05
2109477
MI
01
4301039774
STATE LISCENSE
MI
01
4704233966
STATE LISCENSE
MI
01
6301008394
STATE LISCENSE
MI
Enumeration date
03/24/2015
Last updated
03/24/2015
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