Vanotteren, Glenn

Vanotteren, Glenn is an individual health care provider with primary practice located at 4100 Lake Dr Se S-200, Grand Rapids MI 49546-8292. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Vanotteren, Glenn can be contacted via phone (616) 949-8244.

Contact Information

Primary practice address
4100 Lake Dr Se S-200 Grand Rapids MI 49546-8292
Phone: (616) 949-8244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 4301058500 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 430108500 Michigan

Profile Details

NPI number 1700826880
LBN Legal business name Vanotteren, Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated May 20th, 2024 - about 6 months 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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