Individual
MR. JAMES VANDERHAEGHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24375 HOMESTEAD CT, NOVI, MI 48374
(248) 349-0215
(267) 873-7501
Mailing address
24375 HOMESTEAD CT, NOVI, MI 48374-3082
(248) 349-0215
(267) 873-7501
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AS630310139
MI
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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