Individual
KEITH J VANDER GRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2940 SQUALICUM PKWY, SUITE 204, BELLINGHAM, WA 98225-1892
(360) 733-0070
(360) 676-8351
Mailing address
2940 SQUALICUM PKWY, SUITE 204, BELLINGHAM, WA 98225-1892
(360) 733-0070
(360) 676-8351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00037002
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8240863
—
WA
Enumeration date
06/12/2006
Last updated
07/25/2012
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