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Individual

DR. ANDREA EMMA VAN PELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4070 LAKE DRIVE SE, SUITE 202, GRAND RAPIDS, MI 49546
(616) 464-4420
(616) 464-4354
Mailing address
4070 LAKE DRIVE SE SUITE 202, CENTER FOR BREAST & BODY CONTOURING, GRAND RAPIDS, MI 49546
(616) 464-4420
(646) 464-4354

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4301095522
MI

Other

Enumeration date
04/04/2007
Last updated
03/06/2013
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