Vanderlugt, Gerrit

Vanderlugt, Gerrit is an individual health care provider with primary practice located at 224 N Mill St , Saint Louis MI 48880-1523. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Vanderlugt, Gerrit can be contacted via phone (989) 681-3524.

Contact Information

Primary practice address
224 N Mill St Saint Louis MI 48880-1523
Phone: (989) 681-3524
Fax: (989) 681-2683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X GV007721 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101007721 Michigan

Profile Details

NPI number 1477550689
LBN Legal business name Vanderlugt, Gerrit
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jun 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477550689 NPPES
Michigan Other 1020574 MCLAREN HEALTH PLAN
Michigan Other 0852914964 MCLAREN HEALTH PLAN
Michigan Other 200000005905 MCLAREN HEALTH PLAN
Michigan MEDICAID 114893389 MCLAREN HEALTH PLAN
Michigan Other 0983154 MCLAREN HEALTH PLAN

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