Provider Demographics
NPI:1679561229
Name:VANHEEST, TODD K (MD)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:K
Last Name:VANHEEST
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 MICHIGAN ST NE
Mailing Address - Street 2:MC 845
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-2560
Mailing Address - Country:US
Mailing Address - Phone:616-486-6790
Mailing Address - Fax:616-486-6702
Practice Address - Street 1:8333 FELCH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:ZEELAND
Practice Address - State:MI
Practice Address - Zip Code:49464-2608
Practice Address - Country:US
Practice Address - Phone:616-748-2850
Practice Address - Fax:616-772-2671
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2021-02-15
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Provider Licenses
StateLicense IDTaxonomies
MI4301054880207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4273786Medicaid
MIOM24320010Medicare ID - Type Unspecified
MIOM56180004Medicare ID - Type Unspecified
MI4273786Medicaid