MR. DAVID ARTHUR VANDERWALL M.D.
NPI 1922002419
Plastic Surgery in Grand Rapids, MI

Active since June 13, 2005
220 LYON ST NW, STE 700, GRAND RAPIDS, MI 49503(616) 451-4500(616) 451-9077 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. David Arthur Vanderwall M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID ARTHUR VANDERWALL M.D. (NPI 1922002419) is an individual plastic surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301031976) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1922002419
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameMR. DAVID ARTHUR VANDERWALLCredential: M.D.
Location Address220 LYON ST NW, STE 700Grand Rapids, MI 49503-2210
Mailing Address220 Lyon St Nw, Ste 700Grand Rapids, MI 49503-2210 · (616) 451-4500 · Fax (616) 451-9077
Fax(616) 451-9077
Sole ProprietorNo
Enumeration DateJune 13, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1922002419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in MI · 4301031976
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

220 LYON ST NW, Grand Rapids, MI 49503

Other Identifiers 3

Medicaid1800582MI
Medicare ID-Type Unspecified16082005MI
Medicare UPINB45529MI

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, SUITE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, SUITE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Clinic/Center (Ambulatory Surgical)
220 LYON ST NW, SUITE 700
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Vanderwall's NPI number?

The NPI number for David Vanderwall is 1922002419. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is David Vanderwall located?

David Vanderwall practices at 220 Lyon St NW Ste 700, Grand Rapids, MI 49503. The listed phone number is (616) 451-4500.

What is David Vanderwall's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for David Vanderwall was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.