Individual
MARIE VANDER LINDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2080 44TH ST SE, KENTWOOD, MI 49508-5299
(616) 685-8100
(616) 455-5052
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301407224
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4334756
—
MI
Enumeration date
06/10/2005
Last updated
09/19/2017
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