Dr. Andrea Emma Van Pelt
Plastic and Reconstructive Surgery
4070 Lake Drive Se Suite 202
Grand Rapids
, Michigan 49546
Dr. Andrea Emma Van Pelt
Plastic and Reconstructive Surgery
4070 Lake Drive Se Suite 202
Grand Rapids
, Michigan 49546
(646) 464-4354
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Andrea Emma Van Pelt
- 4070 Lake Drive Se Suite 202 Center For Breast & Body Contouring
- Grand Rapids, MI
- Zip : 49546
- Fax : (646) 464-4354
- Phone : (616) 464-4420
Second Address
- Dr. Andrea Emma Van Pelt
- 4070 Lake Drive Se Suite 202
- Grand Rapids, MI
- Zip : 49546
- Fax : (616) 464-4354
- Phone : (616) 464-4420
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 4301095522 | MI |
National Provider Identifier
| NPI | 1285756148 |
|---|---|
| Provider Name | Dr. Andrea Emma Van Pelt |
| First Address | Grand Rapids, MI 49546 |
| Second Address | Grand Rapids, MI 49546 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2007 |
| Last Update Date | 06/03/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.