NPI
Wesley Blake Vanderlan
NPI 1609097898
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2007-05-02
- Last updated
- 2025-02-10
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Specialties
Licenses
- License MS
- 14789
- License ND
- 20800
- License GA
- 1930
- License FL
- ME115495
- License ID
- MC-2691
- License MI
- 4301086703
Location
- Practice location
- 2799 W Grand Blvd
- City
- Detroit MI
- Postal code
- 48202-2608
- Phone
- (313) 916-2600
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Detroit, MI. 25,231 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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