Individual
MARGARET VANDEWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
245 CHERRY ST SE, SUITE 100, GRAND RAPIDS, MI 49503-4607
(616) 685-3200
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
(616) 685-8348
(616) 685-8099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704263655
MI
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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