| David Van Dyke Md Sc | |
|
122 W South St Viroqua WI 54665-0187 | |
| (608) 637-2511 | |
| (608) 637-7921 |
| Full Name | David Van Dyke Md Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 122 W South St, Viroqua, Wisconsin |
| Authorized Official Name and Position | Julie C Noth (CLINIC DIRECTOR) |
| Authorized Official Contact | 6086372511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Van Dyke Md Sc Po Box 187 122 W South St Viroqua WI 54665-0187 Ph: (608) 637-2511 | David Van Dyke Md Sc 122 W South St Viroqua WI 54665-0187 Ph: (608) 637-2511 |
| NPI Number | 1295873529 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295873529 | NPI | - | NPPES |
| 30101600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 19557020 (Wisconsin) | Primary |
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