Individual
CHAD KENNETH VOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1112 CALVIN AVE SE, GRAND RAPIDS, MI 49506-3237
(630) 536-9987
Mailing address
1112 CALVIN AVE SE, GRAND RAPIDS, MI 49506-3237
(630) 536-9987
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
V20011192234
IL
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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