Douglas J Vandaele in Iowa City - Otolaryngology/facial Plastic Surgery

Douglas J Vandaele - NPI 1821082587

Douglas J Vandaele is a Otolaryngology/facial Plastic Surgery in Iowa City, Iowa. Douglas J Vandaele practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Douglas J Vandaele is 1821082587. The last update date is 2007-12-19.

Douglas J Vandaele's current location address is 200 Hawkins Dr, Iowa City, Iowa. You can contact this provider via phone number 3193538162 and fax number 3193564547. The mailing address for Douglas J Vandaele is 200 Hawkins Dr, Iowa City, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas J Vandaele
Address 200 Hawkins Dr, Iowa City, Iowa
Phone Number 3193538162
Fax Number 3193564547
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1821082587
Provider Enumeration Date 2005-09-08
Last Updated Date 2007-12-19

Provider Mailing Address Detail

Address 200 Hawkins Dr
City Iowa City
State Iowa (IA)
Post Code 522421009
Phone Number 3193538162
Fax Number 3193564547

Provider's Primary Taxonomy Detail

Speciality Otolaryngology/facial Plastic Surgery
Taxonomy 207Yx0905X
Licence No 32034
Definition:
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
34737 IA WELLMARK BCBS
5169375 IA --

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FAQs about Douglas J Vandaele

What is the unique 10-digit identification code issued to Douglas J Vandaele by the Centers for Medicare & Medicaid Services?

The Douglas J Vandaele has been assigned the NPI (National Provider Identifier) 1821082587 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Douglas J Vandaele is located?

The Douglas J Vandaele is situated at the following address: 200 Hawkins Dr, Iowa City, IA, 522421009.

What is Douglas J Vandaele's specialized field of practice, and what is the corresponding taxonomy classification code?

The Douglas J Vandaele's area of specialization is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Yx0905X.

On what date did the Douglas J Vandaele receive the assignment of its 1821082587 from the Centers for Medicare & Medicaid Services?

The Douglas J Vandaele was issued its 1821082587 by the Centers for Medicare & Medicaid Services on 2005-09-08.

As of what date were the details related to Douglas J Vandaele most recently updated or revised?

The information pertaining to Douglas J Vandaele, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-19.

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