Dr. Douglas M Vandrie
Female Pelvic Medicine and Reconstructive Surgeon
555 Midtowne Street Ne Suite 450
Grand Rapids
, Michigan 49503-5732
Dr. Douglas M Vandrie
Female Pelvic Medicine and Reconstructive Surgeon
555 Midtowne Street Ne Suite 450
Grand Rapids
, Michigan 49503-5732
(616) 588-1850
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Dr. Douglas M Vandrie
- 555 Midtowne Street Ne Suite 400
- Grand Rapids, MI
- Zip : 49503-5731
- Fax : (616) 588-1850
- Phone : (616) 588-1800
Second Address
- Dr. Douglas M Vandrie
- 555 Midtowne Street Ne Suite 450
- Grand Rapids, MI
- Zip : 49503-5732
- Fax : (616) 588-1850
- Phone : (616) 588-1800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 4301037779 | MI |
National Provider Identifier
| NPI | 1376557389 |
|---|---|
| Provider Name | Dr. Douglas M Vandrie |
| First Address | Grand Rapids, MI 49503-5731 |
| Second Address | Grand Rapids, MI 49503-5732 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2006 |
| Last Update Date | 27/09/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1332800 | (05) | MI |
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.