Individual
DR. IAN VANDERGULIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5282 MEDICAL DR STE 260, SAN ANTONIO, TX 78229-6039
(210) 970-7802
Mailing address
5282 MEDICAL DR STE 260, SAN ANTONIO, TX 78229-6039
(860) 770-5113
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
692084
TX
Other
Enumeration date
06/08/2020
Last updated
11/20/2024
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