Individual provider · Type 1 NPI

Derek Vandewater

Student in an Organized Health Care Education/Training Program · Adrian, MI

NPI number 1750131488 Active

Practice location

110 S Madison St
Adrian, MI 49221-2575

Call (517) 265-5161 Map

Mailing address

6789 Marshall St
Canton, MI 48187-1660

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750131488

Derek Vandewater's National Provider Identifier is 1750131488, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Adrian, MI. The record was last updated on Mar 25, 2024.