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Individual

DR. GARY LEE VANDERZEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Mailing address
2501 W 22ND ST, PO BOX 5046, SIOUX FALLS, SD 57105-1305
(605) 336-3230

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
495
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9202693
SD
Enumeration date
06/27/2006
Last updated
07/08/2007
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