Individual
DR. JONATHAN VANDERSLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1877 N GETTY ST, NORTH MUSKEGON, MI 49445-8563
(231) 728-5052
(231) 728-5086
Mailing address
PO BOX 1848, MUSKEGON, MI 49443-1848
(231) 727-4444
(231) 728-4789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301100779
MI
208000000X
Pediatrics Physician
4301100779
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301100779
MI
Other
Enumeration date
06/12/2012
Last updated
04/11/2016
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