Organization
LAKEHSORE OTOLARYNGOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE S VANDERVEEN M.D. (PRESIDENT)
(616) 393-2190
Entity
Organization
Contact information
Practice address
577 MICHIGAN AVENUE, SUITE 101, HOLLAND, MI 49423
(616) 393-2190
(616) 393-0147
Mailing address
577 MICHIGAN AVENUE, SUITE 101, HOLLAND, MI 49423
(616) 393-2190
(616) 393-0147
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us