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Individual

DAVID DIRK VANDER VELDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
678 FRONT AVE NW, SUITE 365, GRAND RAPIDS, MI 49504-5325
(616) 920-1816
Mailing address
678 FRONT AVE NW, SUITE 365, GRAND RAPIDS, MI 49504-5325
(616) 920-1816

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101009000
MI

Other

Enumeration date
07/07/2005
Last updated
05/18/2015
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