| Michelle C. Vannieuwenhuize, Md Llc | |
|
6 Blackstone Valley Pl Building #3 Suite 305 Lincoln RI 02865-1179 | |
| (401) 334-1097 | |
| (401) 305-5497 |
| Full Name | Michelle C. Vannieuwenhuize, Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Blackstone Valley Pl, Lincoln, Rhode Island |
| Authorized Official Name and Position | Michelle C Vannieuwenhuize (PHYSICIAN) |
| Authorized Official Contact | 4013341044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle C. Vannieuwenhuize, Md Llc 6 Blackstone Valley Pl Building #3 Suite 305 Lincoln RI 02865-1179 Ph: (401) 334-1097 | Michelle C. Vannieuwenhuize, Md Llc 6 Blackstone Valley Pl Building #3 Suite 305 Lincoln RI 02865-1179 Ph: (401) 334-1097 |
| NPI Number | 1275856759 |
|---|---|
| Provider Enumeration Date | 03/11/2010 |
| Last Update Date | 11/18/2014 |
| Medicare PECOS PAC ID | 1355478967 |
|---|---|
| Medicare Enrollment ID | O20100429000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275856759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD11885 (Rhode Island) | Primary |
| Provider Name | Michelle C Van Nieuwenhize |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386653343 PECOS PAC ID: 2062438500 Enrollment ID: I20051024000451 |
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