Search › Michigan › 103T00000X
Mary Vandergoot, PHD
NPI 1447220819 · on the registry since 2006 · sole proprietor
Practice
- Address
- 60 Monroe Ctr Nw
Suite 8-D
Grand Rapids, MI 49503 - Phone
- (616) 957-3477
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 106H00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan