MARY CAROL VANDER WAL

MARNE, MI
NPI1508092354
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704118232)
Enumeration Date2009-06-08
Last Update Date2009-06-08
Business Address
-- MARY CAROL VANDER WAL NP
13712 32ND AVE
MARNE, MI 49435-9727
Phone number: 616-677-3633
Mailing Address
-- MARY CAROL VANDER WAL NP
13712 32ND AVE
MARNE, MI 49435-9727
Phone number: 616-677-3633