Search › Michigan › 363LG0600X
Tania Vandyke, N.P
NPI 1790783926 · on the registry since 2005
Practice
- Address
- 1310 Wisconsin St Ste 301
Grand Haven, MI 49417 - Phone
- (616) 296-1550
- Fax
- (616) 296-1554
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 363LG0600X
363LG0600X
- Also registered as
- 163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-04
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