Andrea Emma Van Pelt in Grand Rapids - Plastic And Reconstructive Surgery
Andrea Emma Van Pelt - NPI 1285756148
Andrea Emma Van Pelt is a Plastic And Reconstructive Surgery in Grand Rapids, Michigan. Andrea Emma Van Pelt practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Andrea Emma Van Pelt is 1285756148. The last update date is 2013-03-06.
Andrea Emma Van Pelt's current location address is 4070 Lake Drive Se Suite 202, Grand Rapids, Michigan. You can contact this provider via phone number 6164644420 and fax number 6464644354. The mailing address for Andrea Emma Van Pelt is 4070 Lake Drive Se Suite 202, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Emma Van Pelt |
|---|---|
| Address | 4070 Lake Drive Se Suite 202, Grand Rapids, Michigan |
| Phone Number | 6164644420 |
| Fax Number | 6464644354 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285756148 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2013-03-06 |
Provider Mailing Address Detail
| Address | 4070 Lake Drive Se Suite 202 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49546 |
| Phone Number | 6164644420 |
| Fax Number | 6464644354 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 4301095522 |
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Definition: A surgeon who specializes in plastic and reconstructive surgery. |
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Post Comment/ Review Below
What is the unique identification code assigned to Andrea Emma Van Pelt by the Centers for Medicare & Medicaid Services?
The Andrea Emma Van Pelt has been issued the NPI (National Provider Identifier) 1285756148. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Andrea Emma Van Pelt is physically located?
The Andrea Emma Van Pelt is physically situated at the following address: 4070 Lake Drive Se Suite 202, Grand Rapids, MI, 49546.
What is Andrea Emma Van Pelt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Andrea Emma Van Pelt is Plastic And Reconstructive Surgery, and the taxonomy code that classifies this field of practice is 2086S0122X.
When did the Andrea Emma Van Pelt receive its 1285756148?
The Andrea Emma Van Pelt was issued its 1285756148 on 2007-04-04, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Andrea Emma Van Pelt most recently updated or revised?
The details related to Andrea Emma Van Pelt, including its address, specialty, and other relevant information, were last updated or revised on 2013-03-06.
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