Organization
V DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY VANVREEDE (DOCTOR)
(231) 735-1167
Entity
Organization
Contact information
Practice address
1225 W FRONT ST STE C, TRAVERSE CITY, MI 49684-2368
(231) 642-5031
(231) 525-2306
Mailing address
1225 W FRONT ST STE C, TRAVERSE CITY, MI 49684-2368
(231) 642-5031
(231) 525-2306
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P30630
MEDICARE
MI
Enumeration date
06/02/2017
Last updated
12/03/2025
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