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Individual

KATE MARIE VANDERHOOF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
33080 UTICA RD, FRASER, MI 48026-2038
(586) 296-7250
(586) 296-7256
Mailing address
1350 BREWER RD, LEONARD, MI 48367-4406
(586) 337-4708
(586) 296-7256

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004730
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4901004730
STATE OF MICHGIAN
MI
Enumeration date
07/25/2012
Last updated
10/27/2021
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