Individual
DR. PIETER J VANDERLIJN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11700 N MERIDIAN ST, CARMEL, IN 46032-4656
(317) 688-2000
Mailing address
1512 HIGH ST, RICE LAKE, WI 54868-1875
(715) 236-2413
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01060551A
IN
2085R0202X
Diagnostic Radiology Physician
44467
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01060551A
INDIANA LICENCE
IN
05
—
34201200
—
WI
Enumeration date
07/03/2006
Last updated
03/07/2023
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