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Individual

DR. PETER JAY VAN VELDHUIZEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5950 METRO WAY SW, WYOMING, MI 49519-9514
(616) 252-8100
Mailing address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-8100

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
303413
NY
207RH0003X
Hematology & Oncology Physician
Primary
4301510551
MI

Other

Enumeration date
07/26/2006
Last updated
02/15/2024
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