Individual
ZACKARY VAN DER WEIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6699
(219) 947-6200
Mailing address
8540 PARKVIEW AVE, MUNSTER, IN 46321-2032
(312) 785-7554
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28229531A
IN
Other
Enumeration date
06/13/2026
Last updated
06/13/2026
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