person
Dr. Brent Van Til, DPM
Foot & Ankle Surgery Podiatrist in Holland, Michigan
NPI 1225285992

Brent Van Til is a Foot & Ankle Surgery Podiatrist based in Holland, MI and is specialized in Foot & Ankle Surgery. Brent Van Til practices in Holland, MI and has the professional credentials of DPM. The NPI Number for Brent Van Til is 1225285992 and holds a License No. 5901002387 (Michigan).

The current practice location address for Brent Van Til is 904 Washington Ave Ste 130, Holland, MI and can be reached out via phone at 616-392-7472 and via fax at 616-392-3327. You can also correspond with Brent Van Til through the mailing address at 904 WASHINGTON AVE STE 130, HOLLAND, MI - 49423-7724 (mailing address contact number: 616-392-7472).

Location: 904 Washington Ave Ste 130, Holland, MI, 49423-7724
person
Provider Profile Details
NPI Number
1225285992
Provider Name
Brent Van Til
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
904 Washington Ave Ste 130, Holland, MI, 49423-7724
Phone Number
616-392-7472
Fax Number
616-392-3327
Provider Enumeration Date
08/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5901002387 01 MI LICENSE
institution
Provider Business Practice Location Address Details
Address
904 Washington Ave Ste 130
City
State
Zip
49423-7724
Phone Number
616-392-7472
Fax Number
616-392-3327
person
Provider Business Mailing Address Details
Address
904 Washington Ave Ste 130
City
State
Zip
49423-7724
Phone Number
616-392-7472
Fax Number
616-392-3327
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
5901002387 (Michigan)
Definition
Definition to come...
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