Individual
DR. MARK A VEENSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 TURWILL LN, KALAMAZOO, MI 49006-4231
(269) 343-8170
(269) 382-2388
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 343-8170
(269) 382-2388
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301404228
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417961137
BCBSM - BMH
MI
05
—
1518936384
—
MI
01
—
2003910171
BCBS
MI
05
—
2864780
—
MI
Enumeration date
03/15/2006
Last updated
10/10/2014
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