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Individual
WILLIAM J VANDALSEM
Active
Individual
WILLIAM J VANDALSEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G62331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G623310
BLUE SHIELD
CA
05
—
00G623310
—
CA
Enumeration date
06/30/2006
Last updated
12/12/2007
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