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

John R Vydareny MD PC

Organization Dermatology Physician · NPI 1255502605

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.

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Practice location Address checks out

1900 Wealthy St SE
Grand Rapids, MI 49506-2969
Phone: (616) 459-1144
Fax: (616) 459-3594
Show map & directions

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 number1255502605
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Vydareny — Owner · (616) 459-1144
NPI enumeratedMarch 13, 2008
Last updated in NPPESApril 17, 2008
Mailing address1900 Wealthy St Se, Grand Rapids, MI 49506-2969

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