Individual
DR. CHRISTIAAN ERIK DE VRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-1000
Mailing address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-1000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01078367A
IN
Other
Enumeration date
09/02/2011
Last updated
03/03/2025
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