Individual
DR. GEORGE A VAN DE WYNGAERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
444 W OSBORN RD, SUITE 200, PHOENIX, AZ 85013-3814
(602) 230-1400
(602) 230-7676
Mailing address
444 W OSBORN RD, SUITE 200, PHOENIX, AZ 85013-3814
(602) 230-1400
(602) 230-7676
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6074
AZ
Other
Enumeration date
06/21/2005
Last updated
04/10/2008
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