Jeffrey Theodore Vangelderen M.D.

NPI 1043217979 - Pediatrics - 208000000X

NPI Details
NPI 1043217979
Gender Male
Enumeration Date 07/07/2005
Last Updated 03/21/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
248 WASHINGTON AVE
SUITE A
BAY CITY MI, 48708-5848, US
Phone (989) 892-5664
Fax (989) 892-0662
Business Location
248 WASHINGTON AVE
SUITE A
BAY CITY MI, 48708-5848, US
Phone (989) 892-5664
Fax (989) 892-0662
Toxanomy
Taxonomy Code 208000000X
License State Michigan
License Number 4301405970
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According to our database, Dr. Jeffrey Theodore Vangelderen M.D. NPI is 1043217979, taxonomy code is 208000000X and license number is 4301405970, license state is located at Michigan. Jeffrey Theodore Vangelderen M.D. physically located at 248 Washington Ave, Bay City MI, 48708-5848. NPI Number Jeffrey Theodore Vangelderen M.D. has the Individual type.

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1043217979 NPI number is provided on an as is basis without warranty of any kind. 1043217979 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Theodore Vangelderen M.D. are for informational purposes only.