Individual
JULIE VANDEUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
601 JOHN ST STE M-424, KALAMAZOO, MI 49007-5354
(855) 618-2676
Mailing address
601 JOHN ST # 42, KALAMAZOO, MI 49007-5341
(269) 341-8855
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008529
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811404932
—
MI
Enumeration date
01/10/2018
Last updated
09/08/2025
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