Individual
RICHARD VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1025 N 13TH ST, MONTEVIDEO, MN 56265-1653
(320) 269-2222
(320) 269-8929
Mailing address
1025 N 13TH ST, MONTEVIDEO, MN 56265-1653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44495
MN
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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