Michael Vandiver
Michael Vandiver is a Case Manager/Care Coordinator in North St Paul, Minnesota. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2365 McKnight Rd NNorth St Paul, MN 55109-2238
Phone: (651) 760-3236
Fax: (651) 222-6025
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1780402040 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 26, 2024 |
| Last updated in NPPES | September 26, 2024 |
| Certification date | September 18, 2024 |
| Mailing address | 2365 McKnight Rd N, North St Paul, MN 55109-2238 |
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2365 McKnight Rd N, North St Paul, MN 55109-2238 · (651) 760-3236