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Individual

DR. EDWARD PATRICK VANBEEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1771 ALLOUEZ AVE, GREEN BAY, WI 54311-5645
(920) 469-5522
(920) 469-5560
Mailing address
1771 ALLOUEZ AVE, GREEN BAY, WI 54311-5645
(920) 469-5522
(920) 469-5560

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
546-025
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0444780001
MEDICARE DME
01
480004056
RAILROAD MEDICARE
Enumeration date
08/23/2005
Last updated
07/09/2013
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