Individual
MICHAEL ERIC VANDENBOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1621 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1743
(605) 328-9200
(605) 328-9201
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9200
(605) 328-6201
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
27646
IA
207W00000X
Ophthalmology Physician
Primary
5762
SD
Other
Enumeration date
05/26/2006
Last updated
04/16/2015
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