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Individual

DR. MARINUS VANOOYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3416 BIRNWICK DR, ADRIAN, MI 49221
(517) 263-8975
(517) 264-5997
Mailing address
2625 LIGHTHOUSE BEND DR, PONTE VEDRA BEACH, FL 32082-3702
(904) 285-2905
(904) 285-2905

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301030300
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4992126
MI
Enumeration date
09/19/2006
Last updated
11/28/2016
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