Individual
GALYN W VANDE ZANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1290
(641) 621-2200
(641) 621-2335
Mailing address
405 MONROE ST, PELLA, IA 50219-1290
(641) 621-2200
(641) 621-2335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02355
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080099543
RAILROAD MEDICARE
IA
05
—
1057703
—
IA
05
—
2057703
—
IA
Enumeration date
03/10/2006
Last updated
12/08/2021
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