Individual provider · Type 1 NPI

Ruth Jean Vandenberg, P.A.-C.

Physician Assistant · Grand Rapids, MI

NPI number 1679783120 Active

Practice location

1330 Plainfield Ave NE
Grand Rapids, MI 49505-4913

Call (616) 776-0814 Map

Fax (616) 776-9956

Mailing address

PO Box 2564
Grand Rapids, MI 49501-2564

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	5601004042 (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 1679783120

Ruth Jean Vandenberg, P.A.-C.'s National Provider Identifier is 1679783120, issued on May 23, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.