Gustavo Vonderlancken in Granite City - Surgery
Gustavo Vonderlancken - NPI 1881683282
Gustavo Vonderlancken is a Surgery in Granite City, Illinois. Gustavo Vonderlancken practices all healthcare services and medical treatments related to Surgery. The NPI Number for Gustavo Vonderlancken is 1881683282. The last update date is 2013-12-19.
Gustavo Vonderlancken's current location address is 2044 Madison Ave, Granite City, Illinois. You can contact this provider via phone number 6184517600. The mailing address for Gustavo Vonderlancken is 2044 Madison Ave, Granite City, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gustavo Vonderlancken |
|---|---|
| Address | 2044 Madison Ave, Granite City, Illinois |
| Phone Number | 6184517600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1881683282 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2013-12-19 |
Provider Mailing Address Detail
| Address | 2044 Madison Ave |
|---|---|
| City | Granite City |
| State | Illinois (IL) |
| Post Code | 620404641 |
| Phone Number | 6184517600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36109409 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36109409 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gustavo Vonderlancken by the Centers for Medicare & Medicaid Services?
The Gustavo Vonderlancken has been assigned the NPI (National Provider Identifier) 1881683282. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gustavo Vonderlancken's physical address?
The Gustavo Vonderlancken is physically located at 2044 Madison Ave, in the city of Granite City, IL, with the postal code 620404641.
What is Gustavo Vonderlancken's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gustavo Vonderlancken is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did the Gustavo Vonderlancken receive its 1881683282 assignment from the Centers for Medicare & Medicaid Services?
The Gustavo Vonderlancken was assigned its 1881683282 by the Centers for Medicare & Medicaid Services on 2005-10-18.
As of what date was the information regarding Gustavo Vonderlancken, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gustavo Vonderlancken, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-12-19.
NPI Number: 1902809924
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