Individual
DAVID VANOVERBEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PA-C
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
47552 PEMBROKE DR, CANTON, MI 48188-7234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008414
MI
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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