SAMUEL VANDERWOUDE

GRAND RAPIDS, MI
NPI1487211025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251N0400X Physical Therapist, Neurology
Enumeration Date2019-05-20
Last Update Date2019-05-20
Business Address
SAMUEL VANDERWOUDE
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-940-0040
Mailing Address
SAMUEL VANDERWOUDE
1415 MILTON ST SE
GRAND RAPIDS, MI 49506-1712
Phone number: 503-758-7479