Individual
NATHAN JOHN VANDERWEELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3907 TIOGA DR SW, WYOMING, MI 49519-3130
(616) 217-7708
Mailing address
3907 TIOGA DR SW, WYOMING, MI 49519-3130
(616) 217-7708
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/05/2017
Last updated
07/21/2022
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