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Contact Information

WESLEY B VANDERLAN, MD
2799 W GRAND BLVD
DETROIT, MI48202-2608
 Phone: 313-916-2600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WESLEY B VANDERLAN · (Male)

NPI Number 1609097898
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2007
Last updated 02/10/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # ME115495
  • GA License # 1930
  • ID License # MC-2691
  • MI License # 4301086703
  • MS License # 14789
  • ND License # 20800
  • MS Medicaid 00117675
Hospital affiliation(s)
  • AVOYELLES HOSPITAL - (Acute Care)
    4231 HIGHWAY 1192
    MARKSVILLE, LA 71351
  • BEAUREGARD MEMORIAL HOSPITAL - (Acute Care)
    600 S PINE STREET
    DERIDDER, LA 70634
  • FLORIDA HOSPITAL - (Acute Care)
    601 E ROLLINS ST
    ORLANDO, FL 32803
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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