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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN R VYDARENY MD PC

Active Organization

JOHN R VYDARENY MD PC is a Dermatology organization located in GRAND RAPIDS, Michigan. NPI 1255502605 is currently active in the NPPES registry. Verify at CMS.

Dermatology · GRAND RAPIDS, MI

Registration Details

NPI Number
1255502605
Provider Type
Organization
NPI Issued
Mar 13, 2008 (18.443822282662 yrs)
Last Updated
Apr 17, 2008
License
JV028722 (MI)

Practice Information

Address
1900 WEALTHY ST SE
GRAND RAPIDS, MI, 495062969
Browse MI providers · Browse ZIP 49506
Phone
6164591144
Fax
6164593594
Primary Specialty
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.