MICHAEL VREDEVOOGD PC
Ambulatory Health at Harper Ave, Clinton Twp, MI

License number
Michigan 63010066531
Category
Social Work
Type
Clinical Neuropsychologist
License number
Michigan 63010066531
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: DR. MICHAEL JAMES VREDEVOOGD
Title: PRESIDENT
Phone: (586) 741-0295
Address
Address
36385 Harper Ave, Clinton Twp, MI 48035
National Provider ID: 1114108974
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHAEL VREDEVOOGD PC

36385 Harper, Clinton Township, MI 48035

Industry:
Health Practitioner's Office
Doing business as:
Michael Vredevoogd PC - Michael Vredevoogd PHD
Registration:
Sep 9, 2003
Phone:
(586) 741-0295 (Phone), (586) 792-5190 (Fax)
State ID:
09457D
Business type:
Domestic Professional Service Corporation
President:
Michael J. Vredevoogd (President)
Agent:
Michael J Vredevoogd
Categories:
Psychologists

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