Whalio Doctors

NPI 1487659868

Lisa J. Vredevoogd, MD

Practitioner Ophthalmology Physician Holland, MI

Practice location

Address
205 W 29th St Suite 50, Holland, MI 49423-6973
Phone
(616) 796-9995
Fax
(616) 796-9998

Registered specialties

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 4301071619 (MI)

Registry record

NPI
1487659868
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Jun 2005
Record last updated
11 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.