Individual
SCOTT ALAN VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
724 OAKCREST ST SW, WYOMING, MI 49509-4021
(231) 392-3043
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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