Individual
ERIC JOHN VAN DYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
10625 W NORTH AVE STE 101B, WAUWATOSA, WI 53226-2315
(414) 877-5350
Mailing address
1868 WRIGHTSTOWN RD, DE PERE, WI 54115-9611
(920) 227-3226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16952-33
WI
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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