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1417925702
KENNETH M VANDERVELDE
PORTAGE, MI
NPI
1417925702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MI KV029466)
Enumeration Date
2006-03-10
Last Update Date
2007-07-08
Business Address
-- KENNETH M VANDERVELDE MD
7775 ANGLING RD
PORTAGE, MI 49024
Phone number: 269-321-9970
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Mailing Address
-- KENNETH M VANDERVELDE MD
7775 ANGLING RD
PORTAGE, MI 49024
Phone number: 269-321-9970
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