| NPI | 1154682094 |
|---|---|
| Doing Business As | MICHAEL VANDERLICK MD |
| Entity Type | Organization |
| Authorized Contact | KIM HEBERT CFO 337-470-2593 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-15 |