Individual
MS. MEGAN L VANDERMAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2215 44TH ST SW, WYOMING, MI 49519-6439
(616) 252-8300
(616) 252-8460
Mailing address
5900 BYRON CENTER AVE SW, ATTN: MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006552
MI
Other
Enumeration date
01/25/2013
Last updated
12/01/2017
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