KENNETH M VANDERVELDE

PORTAGE, MI
NPI1417925702
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy208600000X Surgery
(Licence: MI  KV029466)
Enumeration Date2006-03-10
Last Update Date2007-07-08
Business Address
KENNETH M VANDERVELDE MD
7775 ANGLING RD
PORTAGE, MI 49024
Phone number: 269-321-9970
Mailing Address
KENNETH M VANDERVELDE MD
7775 ANGLING RD
PORTAGE, MI 49024
Phone number: 269-321-9970