Individual
DR. LUKE HARRY VANKLOMPENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 975-1845
Mailing address
PO BOX 30516, DEPT 4006, LANSING, MI 48909-8016
(616) 975-1845
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301085540
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00755657
RAILROAD MEDICARE
MI
Enumeration date
06/06/2007
Last updated
05/24/2010
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