Individual
DR. GARY ROBERT VANDEKERCKHOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 CROSS CREEK PKWY, STE 120, AUBURN HILLS, MI 48326-2774
(248) 276-0487
(248) 276-8859
Mailing address
3100 CROSS CREEK PKWY, STE 120, AUBURN HILLS, MI 48326-2774
(248) 276-0487
(248) 276-8859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3026806
—
MI
Enumeration date
01/25/2007
Last updated
07/08/2007
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