Jennifer Vanderwall, PA-C
NPI #1033149638 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1033149638
- Entity Type
- Individual
- Name
- Jennifer Vanderwall, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 3, 2006
- Last Updated
- Nov 2, 2011
Practice Location
- Address
- 100 MICHIGAN ST NE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49503-2560
- Phone
- (616) 391-1680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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