IndividualActive
Marc Vander Vliet, M.D.
NPI 1790171304 · Hospice and Palliative Medicine (Internal Medicine) Physician · Southfield, MI
Provider details
- NPI number
- 1790171304
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301500291 (MI)
Specialties & taxonomies
- Hospice and Palliative Medicine (Internal Medicine) PhysicianPrimary207RH0002XLicense 4301500291 (MI)
Allopathic & Osteopathic Physicians
Practice location
26677 W 12 Mile Rd Ste 166
Southfield, MI 48034-1514
Phone: (313) 306-2023
Approximate (ZIP-level) locationGet directions
Mailing address
2799 W Grand Blvd
Detroit, MI 48202
Additional practice locations (1)
- 2799 W. Grand BlvdClara Ford Pavilion--4th FloorDetroit, MI 48202Phone: (313) 916-4098Fax: (313) 916-1925
Registry dates
- Enumerated
- 2015-04-09
- Last updated
- 2022-09-29
- Certified
- 2022-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.