Individual
EVE M VANEGMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2461
Mailing address
PO BOX 77000, DEPT 77263, DETROIT, MI 48277-0263
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
406873
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2208283321
BS
MI
05
—
4136268
—
MI
Enumeration date
05/27/2006
Last updated
07/08/2007
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