Healthcare Provider Details

I. General information

NPI: 1639699499
Provider Name (Legal Business Name): CLAIRE HAMMAN VREELAND D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2017
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 N CHURCH ST STE 201
GREENSBORO NC
27401-1448
US

IV. Provider business mailing address

5900 BYRON CENTER AVE SW
WYOMING MI
49519-9606
US

V. Phone/Fax

Practice location:
  • Phone: 336-378-0713
  • Fax: 336-273-9060
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number2023-01201
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5101023193
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: