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Individual

JOHN C VANDREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1330 ROCKEFELLER AVE, SUITE 340, EVERETT, WA 98201-1684
(425) 252-1116
Mailing address
1330 ROCKEFELLER AVE, SUITE 340, EVERETT, WA 98201-1684
(425) 252-1116

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00015984
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD00015984
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0037225
LABOR AND INDUSTRY
WA
05
1264100
WA
01
MD00015984
STATE LICENSE NUMBER
WA
Enumeration date
05/25/2006
Last updated
01/15/2008
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