Individual
DR. BRADLEY STUART VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 718-5844
(336) 970-5298
Mailing address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 718-5844
(336) 970-5298
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200900402
NC
390200000X
Student in an Organized Health Care Education/Training Program
141515
NC
Other
Enumeration date
01/10/2008
Last updated
09/06/2015
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