Marcia Vanderbroek DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101009578 Issued in MI

Legal business name

MARCIA VANDERBROEK DO PC

Practice address

3272 West Rd
Trenton, MI 48183-2322

Phone

(734) 676-7900

Fax

(734) 676-0335

NPI assigned

Mar 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marcia Vanderbroek, DO

Title

Owner

Phone

(734) 676-7900

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1881719300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832322",
            "telephone_number": "734-676-7900",
            "fax_number": "734-676-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832322",
            "telephone_number": "734-676-7900",
            "fax_number": "734-676-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA VANDERBROEK DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "VANDERBROEK",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-676-7900",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Rose Lyons
• Elizabeth Marie Macdonald
• Katherine Grace Mackillop, DO
• David Malicke, D.O.
• Darin L Mann, DO
• Margaret a Lutsic DO PC
• Emery Martin
• Leshia Rene Martino
• Niloufar Masheli, OD
• Laura Maslar, OTR/L

• Family Medicine Physician in Trenton, MI
• Providers in Trenton, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.