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1386849875
JOEL ANDREW VANDER WALL
GRAND RAPIDS, MI
NPI
1386849875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: 5501010049)
Enumeration Date
2007-06-15
Last Update Date
2007-07-08
Business Address
Mr. JOEL ANDREW VANDER WALL MSPT
3863 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Phone number: 616-735-4545
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Mailing Address
Mr. JOEL ANDREW VANDER WALL MSPT
1465 64TH ST SW
BYRON CENTER, MI 49315
Phone number: 616-257-3014
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