Individual
MARK WILLIAM VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
306 W 11TH ST 2ND FL, ERIE, PA 16501-1705
(814) 240-6216
(814) 240-6219
Mailing address
306 W 11TH ST, 2ND FLOOR, ERIE, PA 16501-1746
(814) 240-6216
(814) 240-6219
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
OS006067E
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
OS006067E
PA
2083X0100X
Occupational Medicine Physician
OS006067E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011147300006
—
PA
Enumeration date
01/11/2007
Last updated
04/10/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us