Leon Vanderlaan in Grand Rapids - Physician Assistant
Leon Vanderlaan - NPI 1275589913
Leon Vanderlaan is a Physician Assistant in Grand Rapids, Michigan. Leon Vanderlaan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Leon Vanderlaan is 1275589913. The last update date is 2017-05-15.
Leon Vanderlaan's current location address is 100 Michigan St Ne Mc-845, Grand Rapids, Michigan. You can contact this provider via phone number 6164866790 and fax number 6164866702. The mailing address for Leon Vanderlaan is 100 Michigan St Ne Mc-845, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leon Vanderlaan |
|---|---|
| Address | 100 Michigan St Ne Mc-845, Grand Rapids, Michigan |
| Phone Number | 6164866790 |
| Fax Number | 6164866702 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1275589913 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2017-05-15 |
Provider Mailing Address Detail
| Address | 100 Michigan St Ne Mc-845 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032560 |
| Phone Number | 6164866790 |
| Fax Number | 6164866702 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601001241 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1104840529 | MI | BCBSM - BRONSON URGENT CARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Leon Vanderlaan by the Centers for Medicare & Medicaid Services?
The Leon Vanderlaan has been assigned the NPI (National Provider Identifier) 1275589913 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Leon Vanderlaan located?
The Leon Vanderlaan is located at 100 Michigan St Ne Mc-845, Grand Rapids, MI 495032560.
What is the area of specialization for Leon Vanderlaan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Leon Vanderlaan is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date was the 1275589913 assigned to Leon Vanderlaan?
The Leon Vanderlaan was issued its 1275589913 on 2006-05-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Leon Vanderlaan most recently updated or refreshed?
The details pertaining to the Leon Vanderlaan, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-05-15.