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1598767394
SUSAN J VANDELLEN
PORT HURON, MI
NPI
1598767394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RR0500X Internal Medicine Rheumatology
(Licence: MI 5101009277)
Enumeration Date
2005-08-11
Last Update Date
2009-12-04
Business Address
SUSAN J VANDELLEN D.O.
940 RIVER CENTRE DR
PORT HURON, MI 48060-4463
Phone number: 810-985-4900
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Mailing Address
SUSAN J VANDELLEN D.O.
940 RIVER CENTRE DR
PORT HURON, MI 48060-4463
Phone number: 810-985-4900
Copy
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