Richard S Vander Heide MD, PH.D.

NPI 1639116148 - Pathology - 207ZP0102X

NPI Details
NPI 1639116148
Gender Male
Enumeration Date 06/01/2006
Last Updated 08/02/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4646 JOHN R ST
DETROIT MI, 48201, US
Phone (313) 576-3610
Fax
Business Location
3800 WOODWARD AVE
SUITE 702
DETROIT MI, 48201-2061, US
Phone
Fax
Toxanomy
Taxonomy Code 207ZP0102X
License State Michigan
License Number 4301062679
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According to our database, Richard S Vander Heide MD, PH.D. NPI is 1639116148, taxonomy code is 207ZP0102X and license number is 4301062679, license state is located at Michigan. Richard S Vander Heide MD, PH.D. physically located at 4646 John R St, Detroit MI, 48201. NPI Number Richard S Vander Heide MD, PH.D. has the Individual type.

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1639116148 NPI number is provided on an as is basis without warranty of any kind. 1639116148 is maintained by the National Plan & Provider Enumeration System. The contents of Richard S Vander Heide MD, PH.D. are for informational purposes only.