| Dr. Gordon Vanotteren | |
|
3200 Eagle Crest Park Dr Ste 103 Grand Rapids MI 49546 | |
| (800) 968-6866 | |
| Not Available |
| Full Name | Dr. Gordon Vanotteren |
|---|---|
| Speciality | Family Medicine |
| Location | 3200 Eagle Crest Park Dr, Grand Rapids, Michigan |
| Authorized Official Name and Position | Gordon Vanotteren (OWNER) |
| Authorized Official Contact | 8009686866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Gordon Vanotteren Po Box 2994 Grand Rapids MI 49501-2994 Ph: () - | Dr. Gordon Vanotteren 3200 Eagle Crest Park Dr Ste 103 Grand Rapids MI 49546 Ph: (800) 968-6866 |
| NPI Number | 1114140662 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114140662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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