J. Montgomery Vandyke
J. Montgomery Vandyke is a Technician/Technologist in Dearborn, Michigan. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
19853 Outer Dr Ste 110Dearborn, MI 48124-2044
Phone: (313) 406-5056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Technician/Technologist (primary) | Taxonomy 156F00000X |
|---|
Record details
| NPI number | 1558948083 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 29, 2021 |
| Last updated in NPPES | April 1, 2021 |
| Certification date | April 1, 2021 |
| Mailing address | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 |
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Jada Dreana Triplett
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19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 · (313) 406-5056