Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Vandam LLC

Organization Certified Registered Nurse Anesthetist · NPI 1417389396

David Vandam LLC is a Certified Registered Nurse Anesthetist in Royal Oak, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5130 Coolidge Hwy Ste 120
Royal Oak, MI 48073-1001
Phone: (248) 658-0878
Fax: (248) 435-0930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704115131 (MI)

Record details

NPI number1417389396
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Van Dam — Owner · (248) 421-5876
NPI enumeratedAugust 2, 2013
Last updated in NPPESNovember 11, 2013
Mailing address6985 Miller Dr, Warren, MI 48092-4725

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