RUTH JEAN VANDENBERG

GRAND RAPIDS, MI
NPI1679783120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004042)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Miss RUTH JEAN VANDENBERG P.A.-C.
1330 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49505-4913
Phone number: 616-776-0814
Mailing Address
Miss RUTH JEAN VANDENBERG P.A.-C.
PO BOX 2564
GRAND RAPIDS, MI 49501-2564
Phone number: 646-776-0814