Individual provider · Type 1 NPI

Brent Van Til, DPM

Foot & Ankle Surgery Podiatrist · Holland, MI

NPI number 1225285992 Active

Practice location

904 Washington Ave Ste 130
Holland, MI 49423-7724

Fax (616) 392-3327

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X5901002387 (MI)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1225285992

Brent Van Til, DPM's National Provider Identifier is 1225285992, issued on Aug 25, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Holland, MI. The record was last updated on Dec 16, 2013.