Individual
DOROTHY VANDEZANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
3023 N 128TH AVE, HART, MI 49420-8246
(231) 742-2126
(231) 346-6050
Mailing address
3023 N 128TH AVE, HART, MI 49420-8246
(231) 742-2126
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
7601000003
MI
Other
Enumeration date
06/26/2019
Last updated
06/19/2023
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