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Individual

GREGORY ANDREW VANDIGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10988 BARTEL BLVD, GALENA, IL 61036-8222
(815) 777-0900
(815) 777-0903
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-107472
IL
207Q00000X
Family Medicine Physician
34196
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036107472
IL
Enumeration date
05/25/2006
Last updated
06/26/2015
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