Individual
MICHAEL VAN DUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 7TH ST, MORTON, WA 98356-9430
(925) 899-0536
Mailing address
PO BOX 1003, MORTON, WA 98356-1003
(925) 899-0536
(925) 957-5401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G60941
CA
207V00000X
Obstetrics & Gynecology Physician
G60941
CA
Other
Enumeration date
11/09/2006
Last updated
02/07/2024
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