Individual
DR. MARK A VEENSTRA
Active
Individual
DR. MARK A VEENSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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