Vanderkolk, Michael Homer

Vanderkolk, Michael Homer is an individual health care provider with primary practice located at 1221 6Th St Suite 306, Traverse City MI 49684-2359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Vanderkolk, Michael Homer can be contacted via phone (231) 935-2400.

Contact Information

Primary practice address
1221 6Th St Suite 306 Traverse City MI 49684-2359
Phone: (231) 935-2400
Fax: (231) 935-2424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MV043582 Michigan

Profile Details

NPI number 1467444216
LBN Legal business name Vanderkolk, Michael Homer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Apr 16th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467444216 NPPES
Michigan MEDICAID 1558290

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