Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301069337 | MI |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 4301069337 | MI |
NPI | 1174500235 |
---|---|
Provider Name | Dr. Peter J Vandermeer |
First Address | Holland, MI 49423-4911 |
Second Address | Holland, MI 49423-4911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2005 |
Last Update Date | 29/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5177345 | (05) | MI |
A15785 | (02) |