Individual
MR. DYLAN CADE VAN WYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1550 E BELTLINE AVE SE STE 100, GRAND RAPIDS, MI 49506-4301
(616) 765-8585
Mailing address
505 CHERRY ST SE APT 610, GRAND RAPIDS, MI 49503-4762
(269) 365-1731
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851117690APP23
MI
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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