Sally Vellenga

NPI 1780794826 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1780794826
Gender Female
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8450 N 32ND ST
RICHLAND MI, 49083-9418, US
Phone (269) 226-2500
Fax
Business Location
5943 STADIUM DR
SUITE 3
KALAMAZOO MI, 49009-3016, US
Phone
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Michigan
License Number 4704118351
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According to our database, Sally Vellenga NPI is 1780794826, taxonomy code is 363L00000X and license number is 4704118351, license state is located at Michigan. Sally Vellenga physically located at 8450 N 32nd St, Richland MI, 49083-9418. NPI Number Sally Vellenga has the Individual type.

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1780794826 NPI number is provided on an as is basis without warranty of any kind. 1780794826 is maintained by the National Plan & Provider Enumeration System. The contents of Sally Vellenga are for informational purposes only.