Search › Michigan › 183500000X
Cassidy Van Dyke
NPI 1629919212 · on the registry since 2026
Practice
- Address
- 378 Baldwin St
Jenison, MI 49428 - Phone
- (906) 440-9167
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 2022 Apple Orchard Dr Ne, Grand Rapids, MI
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan