Individual
MR. JONNIE D VANDERHOEF
Active
Individual
MR. JONNIE D VANDERHOEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704137528
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OB91026
BCBS PROVIDER NUMBER
MI
Enumeration date
09/14/2006
Last updated
11/21/2007
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