Georgia
Composite Medical Board
VANDEWALLE, MICHAEL BERNARD, DO
Medical - Physician
License number
054355
Date granted
03/05/2004
Date expires
01/31/2017
Class
Medical - Physician
Status
Active
Address
200 GORDON ST
georgiadoctors.net
ID 38089050
LAST UPDATED 2026-05-02 10:02:03 UTC
LAST UPDATED 2026-05-02 10:02:03 UTC
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