Individual
DR. STEPHEN P VANDER ROEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 947-0673
(801) 840-2847
Mailing address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 947-0673
(801) 840-2847
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301068550
MI
Other
Enumeration date
11/29/2005
Last updated
07/26/2024
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