Vanderwel, Mark Roger

Vanderwel, Mark Roger is an individual health care provider with primary practice located at 4501 Cameron Valley Pkwy Ste 200, Charlotte NC 28211-4297. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Vanderwel, Mark Roger can be contacted via phone (704) 512-3636.

Contact Information

Primary practice address
4501 Cameron Valley Pkwy Ste 200 Charlotte NC 28211-4297
Phone: (704) 512-3636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200001011 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 200001011 North Carolina

Profile Details

NPI number 1740212901
LBN Legal business name Vanderwel, Mark Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 15th, 2024 - about 2 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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