Individual
STUART VANDERHEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2366 OAK VALLEY DR, ANN ARBOR, MI 48103-8944
(877) 227-8823
Mailing address
PO BOX 1487, MUSKEGON, MI 49443
(616) 975-1845
(616) 285-0846
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301076690
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
4301076690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930125665
RAILROAD MEDICARE
MI
Enumeration date
07/26/2006
Last updated
09/21/2023
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