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

Marielle Vandervennen, MD

Individual provider Pediatrics Physician · NPI 1194252676

Marielle Vandervennen, MD is a Pediatrics Physician in Grand Rapids, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4288 3 Mile Rd NW Ste 1
Grand Rapids, MI 49534-7596
Phone: (616) 458-3677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4174 56th St Sw, Wyoming, MI 49418-2899 — (616) 458-3677

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301111845 (MI)

Record details

NPI number1194252676
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 16, 2017
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

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