Individual
DR. JOHN L VANDER HEYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4361 TALBOT RD S, 112, RENTON, WA 98055-6226
(425) 255-5111
(425) 254-0985
Mailing address
4361 TALBOT RD S, 112, RENTON, WA 98055-6226
(425) 255-5111
(425) 254-0985
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00017646
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023365
—
WA
Enumeration date
12/11/2006
Last updated
07/08/2007
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