Peter Van Der Oord RN

NPI 1093157000 - Registered Nurse - 163W00000X

NPI Details
NPI 1093157000
Gender Male
Enumeration Date 07/19/2013
Last Updated 07/19/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
955 W BROADWAY AVE
MUSKEGON MI, 49441-3521, US
Phone (231) 755-0637
Fax (231) 755-6208
Business Location
1341 LAKESHORE DR
MUSKEGON MI, 49441-1799, US
Phone (231) 755-0637
Fax (231) 755-6208
Toxanomy
Taxonomy Code 163W00000X
License State Michigan
License Number 4704268472
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According to our database, Mr. Peter Van Der Oord RN NPI is 1093157000, taxonomy code is 163W00000X and license number is 4704268472, license state is located at Michigan. Peter Van Der Oord RN physically located at 955 W Broadway Ave, Muskegon MI, 49441-3521. NPI Number Peter Van Der Oord RN has the Individual type.

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1093157000 NPI number is provided on an as is basis without warranty of any kind. 1093157000 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Van Der Oord RN are for informational purposes only.