Marielle Vandervennen, MD - Pediatrics in Grand Rapids, MI

Marielle Vandervennen, MD is a Pediatrics physician based in Grand Rapids, Michigan. Marielle Vandervennen is licensed to practice in Michigan (license number 4301111845) and her current practice location is 4288 3 Mile Rd Nw Ste 1, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at (616) 458-3677.

NPI number for Marielle Vandervennen is 1194252676 and her current mailing address is 4288 3 Mile Rd Nw Ste 1, Grand Rapids, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194252676.

Contact Information

Marielle Vandervennen, MD
4288 3 Mile Rd Nw Ste 1,
Grand Rapids, MI 49534-7596
(616) 458-3677
Not Available

Map and Direction




Physician's Profile

Full NameMarielle Vandervennen
GenderFemale
SpecialityPediatrics
Location4288 3 Mile Rd Nw Ste 1, Grand Rapids, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194252676
  • Provider Enumeration Date: 05/16/2017
  • Last Update Date: 04/02/2024

Medical Identifiers

Medical identifiers for Marielle Vandervennen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194252676NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301111845 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marielle Vandervennen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marielle Vandervennen, MD
4288 3 Mile Rd Nw Ste 1,
Grand Rapids, MI 49534-7596

Ph: (616) 458-3677
Marielle Vandervennen, MD
4288 3 Mile Rd Nw Ste 1,
Grand Rapids, MI 49534-7596

Ph: (616) 458-3677

Reviews and Comments


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