| Robert Vanderbrook, Md, Pllc | |
|
301 E 4th St Clare MI 48617-1547 | |
| (989) 424-6508 | |
| (989) 424-6511 |
| Full Name | Robert Vanderbrook, Md, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 301 E 4th St, Clare, Michigan |
| Authorized Official Name and Position | Robert Vanderbrook (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9894246508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Vanderbrook, Md, Pllc 301 E 4th St Clare MI 48617-1547 Ph: (989) 424-6508 | Robert Vanderbrook, Md, Pllc 301 E 4th St Clare MI 48617-1547 Ph: (989) 424-6508 |
| NPI Number | 1649649666 |
|---|---|
| Provider Enumeration Date | 09/21/2015 |
| Last Update Date | 09/21/2015 |
| Medicare PECOS PAC ID | 5698084630 |
|---|---|
| Medicare Enrollment ID | O20151014002035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649649666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301079028 (Michigan) | Primary |
| Provider Name | Robert J Vanderbrook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336112937 PECOS PAC ID: 1850395807 Enrollment ID: I20060905000316 |
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