Peter S. Vandemark, Md, PC

NPI #1376643155 in Big Rapids, Michigan

Provider Information

NPI Number: 1376643155
Entity Type: Organization
Organization Name: Peter S. Vandemark, Md, PC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 22, 2006
Last Updated: Jul 25, 2007

Practice Location

Address: 705 OAK STREET
Address 2: SUITE 11
City: Big Rapids
State: Michigan
ZIP Code: 49307
Phone: (231) 796-4406

Authorized Official

Name: PETER S VANDEMARK, M.D.
Title: PRESIDENT/OWNER
Phone: (231) 796-4406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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