Search › Michigan › 363A00000X
Evan Vandenbosch, PA-C
NPI 1710342134 · on the registry since 2015
Practice
- Address
- 36622 5 Mile Rd
Suite 101
Livonia, MI 48154 - Phone
- (734) 542-0200
- Clinicians at this address
- 2
Additional practice sites
- 35735 Mound Rd Ste 100, Sterling Heights, MI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-12
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