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Individual
ARDEN VANDERWALL
Active
Individual
ARDEN VANDERWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042.0018660
VT
207LP2900X
Pain Medicine (Anesthesiology) Physician
042.0018660
VT
207R00000X
Internal Medicine Physician
4301511746
MI
Other
Enumeration date
06/17/2020
Last updated
10/09/2025
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