Individual
DR. MICHAEL JOHN VANDERBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
813 3RD AVE, SHELDON, IA 51201-1546
(712) 324-3124
(712) 324-7268
Mailing address
813 3RD AVE, SHELDON, IA 51201-1546
(712) 324-3124
(712) 324-7268
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
06085
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098186
—
IA
Enumeration date
10/19/2005
Last updated
07/08/2007
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