| Michael H. Vanderlick M.d. Apmc | |
|
601 W Saint Mary Blvd Ste. 210 Lafayette LA 70506-3568 | |
| (337) 291-1162 | |
| (337) 264-1499 |
| Full Name | Michael H. Vanderlick M.d. Apmc |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 W Saint Mary Blvd, Lafayette, Louisiana |
| Authorized Official Name and Position | Michael Henry Vanderlick (CHIEF EXECUTOR) |
| Authorized Official Contact | 3372911162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael H. Vanderlick M.d. Apmc 601 W Saint Mary Blvd Ste. 210 Lafayette LA 70506-3568 Ph: (337) 291-1162 | Michael H. Vanderlick M.d. Apmc 601 W Saint Mary Blvd Ste. 210 Lafayette LA 70506-3568 Ph: (337) 291-1162 |
| NPI Number | 1891725867 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 09/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891725867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 14489R (Louisiana) | Primary |
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