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Individual

DAVID E VANREKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3840 N SHERMAN DR, INDIANAPOLIS, IN 46226-4462
(317) 541-3400
(317) 541-3444
Mailing address
8910 PURDUE RD, STE 500, INDIANAPOLIS, IN 46268-3161

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01035126A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100227590
IN
Enumeration date
05/04/2006
Last updated
12/31/2021
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