Individual
DAVID AARON VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MICHIGAN ST NE, SUITE A721, GRAND RAPIDS, MI 49503-2560
(616) 391-3139
(616) 391-3044
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6795
(616) 486-6675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301097546
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19568
RESIDENT PERMIT
MN
Enumeration date
05/05/2008
Last updated
03/02/2021
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