Individual
JAMES MICHAEL VANDERMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1500 US HIGHWAY 41, SCHERERVILLE, IN 46375-1316
(219) 440-7373
Mailing address
1500 US HIGHWAY 41, SCHERERVILLE, IN 46375-1316
(219) 440-7373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28244587A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012159A
IN
Other
Enumeration date
12/06/2021
Last updated
06/17/2022
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