Individual provider · Type 1 NPI
Andrea Emma Van Pelt, MD
Plastic and Reconstructive Surgery Physician · Grand Rapids, MI
NPI number
1285756148
Active
Practice location
4070 Lake Drive SE, Suite 202
Grand Rapids, MI 49546
Fax (616) 464-4354
Mailing address
4070 Lake Drive SE Suite 202, Center For Breast & Body Contouring
Grand Rapids, MI 49546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 4301095522 (MI) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1285756148
Andrea Emma Van Pelt, MD's National Provider Identifier is 1285756148, issued on Apr 4, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 6, 2013.