Individual
JOHN C VANDREE
Active
Individual
JOHN C VANDREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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