Individual
KYLE G VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 1ST AVE, CHIPPEWA FALLS, WI 54729-1242
(715) 720-4400
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52027-020
WI
Other
Enumeration date
04/12/2006
Last updated
09/14/2020
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