John R Vydareny MD PC
John R Vydareny MD PC is a Dermatology Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2008.
- Licensed in
- MI
- In the registry since
- 2008
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1900 Wealthy St SEGrand Rapids, MI 49506-2969
Phone: (616) 459-1144
Fax: (616) 459-3594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence JV028722 (MI) |
|---|
Record details
| NPI number | 1255502605 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Vydareny — Owner · (616) 459-1144 |
| NPI enumerated | March 13, 2008 |
| Last updated in NPPES | April 17, 2008 |
| Mailing address | 1900 Wealthy St Se, Grand Rapids, MI 49506-2969 |
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