Individual
DONALD VANOSTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
161 OTTAWA AVE NW, SUITE 300C, GRAND RAPIDS, MI 49503-2701
(616) 458-0692
(616) 458-8129
Mailing address
161 OTTAWA AVE NW, SUITE 300C, GRAND RAPIDS, MI 49503-2701
(616) 458-0692
(616) 458-8129
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301001325
MI
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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