Doctor Name: | SHEILA MARIE VANLOWE |
NPI Number: | 1568401032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 4301054954 |
Business Practice Address: | 847 Parchment Dr Se Ste 120 Grand Rapids, MI - 495462377 |
Business Phone Number: | 6169490000 |
Business Fax Number: | 6169495943 |
Mailing Address: | 847 Parchment Dr Se Ste 120, GRAND RAPIDS |
State: | MI |
Postal Code: | 495462377 |
Phone Number: | 6169490000 |
Fax Number: | 6169495943 |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 03/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301054954 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |