Organization
DOUGLAS VANDERMEULEN DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS ALAN VANDERMEULEN DDS (DENTIST)
(269) 781-6300
Entity
Organization
Contact information
Practice address
207 WINSTON DR, MARSHALL, MI 49068-8526
(269) 781-6300
(269) 781-8459
Mailing address
207 WINSTON DR, MARSHALL, MI 49068-8526
(269) 781-6300
(269) 781-8459
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13841
MI
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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