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Individual

MR. JOEL ERIC VANDERLUGT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T. , D.P.T.

Contact information

Practice address
9028 N RODGERS DR, SUITE J, CALEDONIA, MI 49316
(616) 891-0600
(208) 489-4300
Mailing address
PO BOX 30516, DEPT 5300, LANSING, MI 48909
(616) 340-1643

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2859
ID

Other

Enumeration date
10/10/2011
Last updated
09/20/2023
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