Kenneth M Vandervelde Jr, MD | |
7775 Angling Rd, Portage, MI 49024 | |
(269) 321-9970 | |
(269) 321-9972 |
Full Name | Kenneth M Vandervelde Jr |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 7775 Angling Rd, Portage, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417925702 | NPI | - | NPPES |
1395346 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | KV029466 (Michigan) | Primary |
Mailing Address | Practice Location Address |
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Kenneth M Vandervelde Jr, MD 7775 Angling Rd, Portage, MI 49024 Ph: (269) 321-9970 | Kenneth M Vandervelde Jr, MD 7775 Angling Rd, Portage, MI 49024 Ph: (269) 321-9970 |
Dr. Karen M Buckley, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7901 S 12th St Ste 100, Portage, MI 49024 Phone: 269-372-3000 | |
Dr. Kimberly Clawson, Surgery Medicare: Accepting Medicare Assignments Practice Location: 7901 S 12th St, Portage, MI 49024 Phone: 269-372-3000 |