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Individual

JOHN YATES SEALANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2503 S SEMINOLE TRL, MADISON, VA 22727-2690
(540) 948-6871
(540) 948-6601
Mailing address
PO BOX 21975, BELFAST, ME 04915-4116
(540) 321-4281
(540) 321-4282

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101054981
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164464178
VA
01
VV6262D
MEDICARE
VA
Enumeration date
06/12/2006
Last updated
05/17/2019
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