Organization
MICHELLE C. VANNIEUWENHUIZE, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE C VANNIEUWENHUIZE M.D. (PHYSICIAN)
(401) 334-1044
Entity
Organization
Contact information
Practice address
6 BLACKSTONE VALLEY PL, BUILDING #3 SUITE 305, LINCOLN, RI 02865-1179
(401) 334-1097
(401) 305-5497
Mailing address
6 BLACKSTONE VALLEY PL, BUILDING #3 SUITE 305, LINCOLN, RI 02865-1179
(401) 334-1097
(401) 305-5497
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11885
RI
Other
Enumeration date
03/11/2010
Last updated
11/18/2014
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