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Individual
DR. STEVEN CRAIG VANDER WAAL
Active
Individual
DR. STEVEN CRAIG VANDER WAAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
13959
OR
261QP2300X
Primary Care Clinic/Center
13959
OR
Other
Enumeration date
10/19/2006
Last updated
05/23/2014
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