Individual
MR. KURT VANDERVEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3434 RIVERTOWN POINT CT SW, GRANDVILLE, MI 49418-3076
(616) 257-3344
(616) 257-1491
Mailing address
3434 RIVERTOWN POINT CT SW, GRANDVILLE, MI 49418-3076
(616) 257-3344
(616) 257-1491
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
5601004356
MI
363A00000X
Physician Assistant
Primary
5601004356
MI
Other
Enumeration date
10/04/2006
Last updated
03/02/2023
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