Individual
BERND STEPHEN VAN DE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.M.O.T. P.T.
Contact information
Practice address
383 GARDEN AVE, HOLLAND, MI 49424-9602
(616) 494-8271
Mailing address
1140 MONROE AVE NW STE 150, GRAND RAPIDS, MI 49503-1055
(616) 459-6331
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004403
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
WORKERS COMPENSATION PATIENTS ONLY.AT THIS TIME.
MI
Enumeration date
06/10/2008
Last updated
06/10/2008
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