Individual provider · Type 1 NPI

Mark Vandermyde

Physician Assistant · Portage, MI

NPI number 1568543502 Active

Practice location

7901 Angling Rd
Portage, MI 49024-0714

Call (269) 324-8405 Map

Mailing address

5943 Stadium Dr, Suite 3
Kalamazoo, MI 49009-3016

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601003052 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1568543502

Mark Vandermyde's National Provider Identifier is 1568543502, issued on Oct 18, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portage, MI. The record was last updated on Jul 8, 2007.