Individual
CASSANDRA LEE VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1410 6TH AVE S, CLEAR LAKE, IA 50428-2606
(641) 357-2191
(641) 357-6020
Mailing address
PO BOX 653, CASCADE, IA 52033-0653
(641) 247-8214
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
112254
IA
Other
Enumeration date
01/05/2022
Last updated
11/16/2023
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