Individual
DR. JASON VANDERPLOEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3205 28TH ST SE, STE 1, KENTWOOD, MI 49512-1695
(616) 957-1600
(616) 957-3925
Mailing address
4284 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-1612
(616) 957-1600
(616) 957-3925
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004392
MI
Other
Enumeration date
02/14/2007
Last updated
10/01/2007
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