DERMATOLOGY CENTER OF GRAND RAPIDS PC

GRAND RAPIDS, MI
NPI1275527053
Entity TypeOrganization
Authorized ContactEVELYN E VANDERVEEN
President
616-942-9343
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Additional Taxonomies207ND0101X Dermatology, MOHS-Micrographic Surgery
Enumeration Date2005-09-07
Last Update Date2015-03-06
Business Address
DERMATOLOGY CENTER OF GRAND RAPIDS PC
750 E BELTLINE AVE NE SUITE 301
GRAND RAPIDS, MI 49525-6049
Phone number: 616-942-9343
Mailing Address
DERMATOLOGY CENTER OF GRAND RAPIDS PC
750 E BELTLINE AVE NE SUITE 301
GRAND RAPIDS, MI 49525-6049
Phone number: 616-942-9343