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Individual

DAVID A VANENGELENHOVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 333-5000
(218) 333-5438
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
47131
MN
207Q00000X
Family Medicine Physician
Primary
47131
MN

Other

Enumeration date
03/24/2006
Last updated
06/06/2023
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