Individual
MARC VANDER VLIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26677 W 12 MILE RD STE 166, SOUTHFIELD, MI 48034-1514
(313) 306-2023
Mailing address
2799 W GRAND BLVD, CLARA FORD PAVILION--4TH FLOOR, DETROIT, MI 48202
(313) 916-4098
(313) 916-1925
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
4301500291
MI
Other
Enumeration date
04/09/2015
Last updated
09/29/2022
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