Vandrie, Douglas M
Vandrie, Douglas M is an individual health care provider with primary practice located at 555 Midtowne Street Ne Suite 450, Grand Rapids MI 49503-5732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, which is considered as his primary health care specialty. Vandrie, Douglas M can be contacted via phone (616) 588-1800.Contact Information
Primary practice address
555 Midtowne Street Ne Suite 450
Grand Rapids MI 49503-5732
Phone: (616) 588-1800
Fax: (616) 588-1850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 4301037779 | Michigan |
Profile Details
| NPI number | 1376557389 |
|---|---|
| LBN Legal business name | Vandrie, Douglas M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Sep 27th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376557389 | NPPES |
| Michigan | MEDICAID | 1332800 |
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