IndividualActive
Douglas Vandrie, M.D.
NPI 1376557389 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1376557389
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301037779 (MI)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense 4301037779 (MI)
Allopathic & Osteopathic Physicians
Practice location
555 Midtowne Street Ne
Suite 450
Grand Rapids, MI 49503-5732
Phone: (616) 588-1800
Fax: (616) 588-1850
Approximate (ZIP-level) locationGet directions
Mailing address
555 Midtowne Street Ne
Grand Rapids, MI 49503-5731
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2013-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.