Individual
LARRY B VANDERWOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 S KIWANIS AVE, SIOUX FALLS, SD 57105-4252
(605) 328-9100
(605) 328-9101
Mailing address
2701 S KIWANIS AVE, SIOUX FALLS, SD 57105-4252
(605) 328-9100
(605) 328-9101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2500
SD
Other
Enumeration date
05/26/2006
Last updated
05/08/2008
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