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Derek Vandewater
Student in an Organized Health Care Education/Training Program in Adrian, Michigan
NPI 1750131488

Derek Vandewater is a Student in an Organized Health Care Education/Training Program based in Canton, MI. Derek Vandewater practices in Adrian, MI. The NPI Number for Derek Vandewater is 1750131488 and holds a License No. (Michigan).

The current practice location address for Derek Vandewater is 110 S Madison St, Adrian, MI and can be reached out via phone at 517-265-5161.

Location: 110 S Madison St, Adrian, MI, 48187-1660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750131488
Provider Name
Derek Vandewater
Credential
Provider Entity Type
Individual
Gender
Male
Address
110 S Madison St, Adrian, MI, 48187-1660
Phone Number
517-265-5161
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
110 S Madison St
City
Adrian
State
Michigan
Zip
49221-2575
Phone Number
517-265-5161
Fax Number
person
Provider Business Mailing Address Details
Address
110 S Madison St
City
Adrian
State
Michigan
Zip
49221-2575
Phone Number
517-265-5161
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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