Individual
JONI VANDUINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 459-4314
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 459-4314
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101014390
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4440383
—
MI
Enumeration date
08/29/2006
Last updated
11/20/2015
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