OrganizationActive
12th Street PLLC
NPI 1790470409 · Internal Medicine Physician · Wayland, MI
Provider details
- NPI number
- 1790470409
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Joel Veldhouse, Physician Owner
Mailing address
3587 12th St
Wayland, MI 49348-9569
Registry dates
- Enumerated
- 2023-04-07
- Last updated
- 2023-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.