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Individual
ROBERT EUGENE VAN DEMARK III
Active
Individual
ROBERT EUGENE VAN DEMARK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10520
SD
207X00000X
Orthopaedic Surgery Physician
2016-00257
NC
207X00000X
Orthopaedic Surgery Physician
55491
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063708915
—
NC
05
—
NC2779
—
SC
Enumeration date
06/20/2011
Last updated
06/06/2023
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