Individual
DAVID VANOEVEREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1721 MARGARET DR, DORR, MI 49323-9378
(616) 581-8279
Mailing address
1721 MARGARET DR, DORR, MI 49323-9378
(616) 581-8279
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703083006
MI
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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