Individual
DAVID VANDERLUGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3988 W STATE ROAD 10, WHEATFIELD, IN 46392-9251
(219) 987-3581
(219) 987-7137
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-3616
(219) 364-3610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01038324A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100086440A
—
IN
Enumeration date
07/12/2006
Last updated
09/15/2020
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