Organization
MICHAEL H. VANDERLICK M.D. APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HENRY VANDERLICK M.D. (CHIEF EXECUTOR)
(337) 291-1162
Entity
Organization
Contact information
Practice address
601 W SAINT MARY BLVD, STE. 210, LAFAYETTE, LA 70506-3568
(337) 291-1162
(337) 264-1499
Mailing address
601 W SAINT MARY BLVD, STE. 210, LAFAYETTE, LA 70506-3568
(337) 291-1162
(337) 264-1499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14489R
LA
Other
Enumeration date
07/04/2006
Last updated
09/30/2008
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