Theodore J. Vanderkooi, M.D.

NPI #1801849120 in Fremont, Michigan

Provider Information

NPI Number: 1801849120
Entity Type: Individual
Name: Theodore J. Vanderkooi, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: May 18, 2006
Last Updated: Jul 11, 2014

Practice Location

Address: 230 W OAK ST
Address 2: SUITE 201
City: Fremont
State: Michigan
ZIP Code: 49412-1575
Phone: (231) 924-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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