Theodore S Vanderveen in Holland - Otolaryngology
Theodore S Vanderveen - NPI 1255351250
Theodore S Vanderveen is a Otolaryngology in Holland, Michigan. Theodore S Vanderveen practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Theodore S Vanderveen is 1255351250. The last update date is 2015-07-29.
Theodore S Vanderveen's current location address is 577 Michigan Ave, Holland, Michigan. You can contact this provider via phone number 6163932190 and fax number 6163930147. The mailing address for Theodore S Vanderveen is 577 Michigan Ave, Holland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore S Vanderveen |
|---|---|
| Address | 577 Michigan Ave, Holland, Michigan |
| Phone Number | 6163932190 |
| Fax Number | 6163930147 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255351250 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2015-07-29 |
Provider Mailing Address Detail
| Address | 577 Michigan Ave |
|---|---|
| City | Holland |
| State | Michigan (MI) |
| Post Code | 494234911 |
| Phone Number | 6163932190 |
| Fax Number | 6163930147 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 4301028095 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5177354 | MI | -- | |
| OG06056 | MI | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Theodore S Vanderveen by the Centers for Medicare & Medicaid Services?
The Theodore S Vanderveen has been assigned the NPI (National Provider Identifier) 1255351250 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Theodore S Vanderveen is geographically located?
The Theodore S Vanderveen is physically situated at the following location: 577 Michigan Ave, Holland, MI, 494234911.
What is the Theodore S Vanderveen's area of specialization and corresponding taxonomy classification?
The Theodore S Vanderveen's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1255351250 to Theodore S Vanderveen?
The Theodore S Vanderveen received its 1255351250 assignment from the Centers for Medicare & Medicaid Services on 2006-07-20.
As of what date were the details related to Theodore S Vanderveen most recently updated or revised?
The information pertaining to Theodore S Vanderveen, including its address, specialty, and other relevant details, was last updated or revised on 2015-07-29.
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