JENNIFER VANDERWALL

GRAND RAPIDS, MI
NPI1033149638
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004566)
Enumeration Date2006-07-03
Last Update Date2011-11-02
Business Address
-- JENNIFER VANDERWALL PA-C
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1680
Mailing Address
-- JENNIFER VANDERWALL PA-C
2537 MOMENTUM PL
CHICAGO, IL 60689-5325
Phone number: 616-975-1845
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