Individual
ANGELA MARIE VANDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1774
Mailing address
7199 OLD MISSION DR NE, ROCKFORD, MI 49341-7399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013407
MI
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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