Individual
RONALD VANDERLAAN
Active
Individual
RONALD VANDERLAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301046234
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447299599
TRICARE
MI
05
—
1447299599
—
MI
01
—
2939555
CIGNA
MI
01
—
MEMBER PTAN P0061774
RAILROAD MEDICARE
MI
Enumeration date
06/05/2006
Last updated
12/17/2021
Update your record
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