Individual
DR. DIRK J VAN DER WINDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-5000
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301502766
MI
208600000X
Surgery Physician
Primary
87668
SC
208600000X
Surgery Physician
MT201891
PA
Other
Enumeration date
06/12/2012
Last updated
10/11/2022
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