Antoinette J Vander Pol in Parkston - Family Medicine

Antoinette J Vander Pol - NPI 1689655789

Antoinette J Vander Pol is a Family Medicine in Parkston, South Dakota. Antoinette J Vander Pol practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Antoinette J Vander Pol is 1689655789. The last update date is 2012-08-09.

Antoinette J Vander Pol's current location address is 401 W Glynn Dr, Parkston, South Dakota. You can contact this provider via phone number 6059283311 and fax number 6059287368. The mailing address for Antoinette J Vander Pol is 401 W Glynn Dr, Parkston, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Antoinette J Vander Pol
Address 401 W Glynn Dr, Parkston, South Dakota
Phone Number 6059283311
Fax Number 6059287368
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1689655789
Provider Enumeration Date 2005-11-07
Last Updated Date 2012-08-09

Provider Mailing Address Detail

Address 401 W Glynn Dr
City Parkston
State South Dakota (SD)
Post Code 573669605
Phone Number 6059283311
Fax Number 6059287368

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 4723
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9169682 SD DAKOTACARE
7357 SD WELLMARK PARKSTON
4997645 SD WELLMARK - LAKE ANDES
5610842 SD --

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FAQs about Antoinette J Vander Pol

What is the unique identifier code issued to Antoinette J Vander Pol by the Centers for Medicare & Medicaid Services?

The Antoinette J Vander Pol has been assigned the NPI (National Provider Identifier) 1689655789. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Antoinette J Vander Pol located?

The Antoinette J Vander Pol is located at 401 W Glynn Dr, Parkston, SD 573669605.

What is the area of specialization for Antoinette J Vander Pol, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Antoinette J Vander Pol is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

On what date was the 1689655789 assigned to Antoinette J Vander Pol?

The Antoinette J Vander Pol was issued its 1689655789 on 2005-11-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Antoinette J Vander Pol, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Antoinette J Vander Pol, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-08-09.

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