Individual
DR. WILLIAM CHRISTIAN VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
235 WEALTHY ST SE, SUITE 100, GRAND RAPIDS, MI 49503-5229
(616) 840-8186
(616) 840-9637
Mailing address
235 WEALTHY ST SE, SUITE 100, GRAND RAPIDS, MI 49503-5229
(616) 840-8186
(616) 840-9637
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301054341
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2577414
—
MI
01
—
WV054341
STATE LICENSE
MI
Enumeration date
06/14/2006
Last updated
05/19/2015
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