Dr. Theodore S Vanderveen
Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck)
577 Michigan Ave Suite 101
Holland
, Michigan 49423-4911
Dr. Theodore S Vanderveen
Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck)
577 Michigan Ave Suite 101
Holland
, Michigan 49423-4911
(616) 393-0147
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Dr. Theodore S Vanderveen
- 577 Michigan Ave Suite 101
- Holland, MI
- Zip : 49423-4911
- Fax : (616) 393-0147
- Phone : (616) 393-2190
Second Address
- Dr. Theodore S Vanderveen
- 577 Michigan Ave Suite 101
- Holland, MI
- Zip : 49423-4911
- Fax : (616) 393-0147
- Phone : (616) 393-2190
Reviews
FAQs
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Is Dr. Theodore S Vanderveen a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301028095 | MI |
| N | 207YX0007X | Plastic Surgeon (Head & Neck) | 4301028095 | MI |
National Provider Identifier
| NPI | 1255351250 |
|---|---|
| Provider Name | Dr. Theodore S Vanderveen |
| 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 | 20/07/2006 |
| Last Update Date | 29/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5177354 | (05) | MI |
| A74439 | (02) | |
| OG06056 | BCBS (01) | 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.