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Contact Information

DR. GORDON VANOTTEREN
3200 EAGLE CREST PARK DR
STE 103
GRAND RAPIDS, MI49546
 Phone: 800-968-6866
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DR. GORDON VANOTTEREN

NPI Number 1114140662
LBN Legal business name DR. GORDON VANOTTEREN
Authorized official GORDON VANOTTEREN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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