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Individual

ANTHONY VANDYCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
46 FAIRVIEW AVE, SKOWHEGAN, ME 04976-1481
(207) 474-5121
(207) 474-9256
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 474-5121
(207) 474-9256

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
015847
ME
2085R0202X
Diagnostic Radiology Physician
Primary
MD15847
ME

Other

Enumeration date
12/30/2005
Last updated
06/27/2023
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