Individual
IAN VAN DER WEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 LAKEWOOD DR, NORTH NEWTON, KS 67117-8075
(316) 288-1583
Mailing address
211 SW 6TH ST, NEWTON, KS 67114-4209
(316) 288-1583
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
103495
KS
Other
Enumeration date
05/01/2015
Last updated
02/23/2023
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