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Individual

DAVID R VANDERSTEEN

Active
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Individual

DAVID R VANDERSTEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
39449
MN
2088P0231X
Pediatric Urology Physician
036152612
IL
2088P0231X
Pediatric Urology Physician
W3199
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
294225900
MN
Enumeration date
03/31/2006
Last updated
06/29/2026
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