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Individual

MS. JOAN VANDERWERKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7402 YORK RD, SUITE 100 ENDOSCOPIC MICROSURGERY ASS. PA, TOWSON, MD 21061
(410) 494-1846
(410) 828-1706
Mailing address
11722 REISTERSTOWN RD, IMMEDIATE CARE, REISTERSTOWN, MD 21136-3302
(410) 833-5000
(410) 833-1433

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001281-1
NY
363A00000X
Physician Assistant
Primary
C0000813
MD

Other

Enumeration date
11/01/2006
Last updated
01/15/2010
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