Individual
BURTON F VANDERLAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5769 CHAROLAIS DR SW, WYOMING, MI 49418-8703
(616) 805-4459
Mailing address
5769 CHAROLAIS DR SW, WYOMING, MI 49418-8703
(616) 805-4459
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
036057480
IL
207RX0202X
Medical Oncology Physician
Primary
4301093441
MI
Other
Enumeration date
05/07/2007
Last updated
07/20/2011
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