Individual
CAROL VAN DER HARST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
903 N EUCLID AVE, BAY CITY, MI 48706-2478
(989) 667-4230
(989) 667-4546
Mailing address
903 N EUCLID AVE, BAY CITY, MI 48706-2478
(989) 667-4230
(989) 667-4546
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301407223
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3069287
—
MI
01
—
6V42615
HEALTHPLUS
MA
01
—
71020000098824
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/28/2006
Last updated
07/08/2007
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