TIFFANY L VARDON

GRAND RAPIDS, MI
NPI1891738928
Former NameTIFFANY L WOODS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004741)
Enumeration Date2006-06-14
Last Update Date2009-06-30
Business Address
-- TIFFANY L VARDON PA-C
200 JEFFERSON AVE SE 6 SOUTH #626
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-5039
Mailing Address
-- TIFFANY L VARDON PA-C
245 STATE ST SE STE 1A
GRAND RAPIDS, MI 49503-4328
Phone number: 616-685-1808