Michael Van Dyke PA-C

NPI 1659578383 - Physician Assistant - 363A00000X

NPI Details
NPI 1659578383
Gender Male
Enumeration Date 06/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
UKIAH CA, 95482-4531, US
Phone (707) 462-7900
Fax (707) 462-7947
Business Location
GEYSERVILLE CA, 95441-9581, US
Phone (707) 857-4708
Fax (707) 857-4723
Taxonomy Code 363A00000X
License State California
License Number PA12445
Remove 1659578383 NPI Number

According to our database, Michael Van Dyke PA-C NPI is 1659578383, taxonomy code is 363A00000X and license number is PA12445, license state is located at California. Michael Van Dyke PA-C physically located at 275 Hospital Dr, Ukiah CA, 95482-4531. NPI Number Michael Van Dyke PA-C has the Individual type.

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1659578383 NPI number is provided on an as is basis without warranty of any kind. 1659578383 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Van Dyke PA-C are for informational purposes only.