Individual
DR. ANDREW MICHEL DE ZWAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
933 3 MILE RD NW STE 110, GRAND RAPIDS, MI 49544-1673
(616) 784-6300
Mailing address
933 3 MILE RD NW STE 110, GRAND RAPIDS, MI 49544-1673
(616) 784-6300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020721
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901020721
DENTISTRY LICENSE NUMBER
MI
01
—
5315055983
PHARMACY LICENSE NUMBER
MI
Enumeration date
09/20/2012
Last updated
10/03/2025
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