Individual
MS. CHRISTINE JANET VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 643-3311
Mailing address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 643-3311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2009019852
MO
363A00000X
Physician Assistant
Primary
PA17604
CA
Other
Enumeration date
12/04/2006
Last updated
03/24/2021
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