Individual
DR. MARK VEENENDAAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 W GREENLAWN AVE, STE 400, LANSING, MI 48910-2898
(517) 483-7550
(517) 882-4144
Mailing address
3500 S CEDAR ST, STE 116, LANSING, MI 48910-4699
(517) 887-2511
(517) 882-4144
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301036312
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1817507
—
MI
Enumeration date
07/14/2005
Last updated
07/08/2007
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