Individual
MORGAN VANDEVELDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5986
Mailing address
1 GENESYS PKWY RM 2620, GRAND BLANC, MI 48439-8065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5151017310
MI
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
07/15/2019
Last updated
05/06/2025
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