Individual
WESLEY BLAKE VANDERLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
14789
MS
208600000X
Surgery Physician
14789
MS
208600000X
Surgery Physician
20800
ND
208600000X
Surgery Physician
Primary
4301086703
MI
2086S0102X
Surgical Critical Care Physician
14789
MS
2086S0102X
Surgical Critical Care Physician
1930
GA
2086S0102X
Surgical Critical Care Physician
MC-2691
ID
2086S0102X
Surgical Critical Care Physician
ME115495
FL
2086S0127X
Trauma Surgery Physician
14789
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117675
—
MS
Enumeration date
05/02/2007
Last updated
02/10/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us