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Individual

JASON VANDERLUGT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 985-4632
Mailing address
926 WASHINGTON AVE, BUILDING C, HOLLAND, MI 49423-7725
(616) 393-0166

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301096386
MI

Other

Enumeration date
07/22/2010
Last updated
05/14/2025
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