Derek Vandewater
Derek Vandewater is a Student in an Organized Health Care Education/Training Program in Adrian, Michigan. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
110 S Madison StAdrian, MI 49221-2575
Phone: (517) 265-5161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1750131488 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 25, 2024 |
| Last updated in NPPES | March 25, 2024 |
| Certification date | March 21, 2024 |
| Mailing address | 6789 Marshall St, Canton, MI 48187-1660 |
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