Vanotteren, Glenn
Vanotteren, Glenn is an individual health care provider with primary practice located at 4100 Lake Dr Se S-200, Grand Rapids MI 49546-8292. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Vanotteren, Glenn can be contacted via phone (616) 949-8244.Contact Information
Primary practice address
4100 Lake Dr Se S-200
Grand Rapids MI 49546-8292
Phone: (616) 949-8244
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 4301058500 | Michigan |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 430108500 | Michigan |
Profile Details
| NPI number | 1700826880 |
|---|---|
| LBN Legal business name | Vanotteren, Glenn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | May 20th, 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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