Vandermeer, Peter J

Vandermeer, Peter J is an individual health care provider with primary practice located at 577 Michigan Ave Suite 101, Holland MI 49423-4911. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Vandermeer, Peter J can be contacted via phone (616) 393-2190.

Contact Information

Primary practice address
577 Michigan Ave Suite 101 Holland MI 49423-4911
Phone: (616) 393-2190
Fax: (616) 393-0147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4301069337 Michigan
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 4301069337 Michigan

Profile Details

NPI number 1174500235
LBN Legal business name Vandermeer, Peter J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jul 29th, 2015 - about 11 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 1174500235 NPPES
Michigan MEDICAID 5177345

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