Individual
DR. MICHAEL JOHN VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 HAWKINS DR., IOWA CITY, IA 52242
(319) 356-3462
(319) 356-4855
Mailing address
225 KOSER AVE, IOWA CITY, IA 52246-1921
(509) 952-6636
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R-8582
IA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
OP60517574
WA
Other
Enumeration date
05/20/2009
Last updated
05/06/2015
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