Individual
DR. MICHAEL C VANTUYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 FAIRHURST ST, STERLING, CO 80751-4523
(970) 526-5555
Mailing address
4180 GLENCLIFF AVENUE, KINGMAN, AZ 86401
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
16303
NV
2085R0001X
Radiation Oncology Physician
2010005862
MO
2085R0001X
Radiation Oncology Physician
Primary
9833
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134261902
BCBS OF AZ
AZ
05
—
226346
—
AZ
01
—
5193524
AETNA PROVIDER #
AZ
Enumeration date
02/12/2007
Last updated
08/01/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us