Individual
VICTOR VERMEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6171 LAKESHORE DR, WEST OLIVE, MI 49460-9139
(616) 786-3189
Mailing address
6171 LAKESHORE DR, WEST OLIVE, MI 49460-9139
(616) 786-3189
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35029658
OH
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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