Individual
DR. LISA J. VREDEVOOGD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
205 W 29TH ST, SUITE 50, HOLLAND, MI 49423-6973
(616) 796-9995
(616) 796-9998
Mailing address
205 W 29TH ST, SUITE 50, HOLLAND, MI 49423-6973
(616) 796-9995
(616) 796-9998
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301071619
MI
Other
Enumeration date
06/14/2005
Last updated
11/11/2015
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