Dr. Jeremy Browning Vandenberg, M.D.
Anesthesiology in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1497908040
StatusActive
Last updated in NPPESOct 27, 2025
Details
- NPI
- 1497908040
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeremy Browning Vandenberg
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2008
- Certification date
- Oct 27, 2025
- Last updated
- Oct 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 4301086201 | MI | Yes |
| 207L00000X | Anesthesiology | C4687 | KY |
Practice location
3333 Evergreen Dr NeGrand Rapids, MI 49525-9493
Phone 616-364-4200 · Fax 616-364-7347
Mailing address
3333 Evergreen Dr NeGrand Rapids, MI 49525-9493
Phone 616-364-4200 · Fax 616-364-7347
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