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

Mark Vandermyde

Individual provider Physician Assistant · NPI 1568543502

Mark Vandermyde is a Physician Assistant in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

7901 Angling Rd
Portage, MI 49024-0714
Phone: (269) 324-8405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601003052 (MI)

Record details

NPI number1568543502
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESJuly 8, 2007
Mailing address5943 Stadium Dr, Suite 3, Kalamazoo, MI 49009-3016

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