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Individual

STANLEY VRIEZELAAR

Active
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Individual

STANLEY VRIEZELAAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R4D79
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000010041
ESSENCE
MO
01
0400407
UHC
MO
01
101286
HEALTHLINK
MO
01
127499
GHP
MO
01
25674
BCBS
MO
01
4032391
AETNA
MO
01
A13085
MERCY
MO
Enumeration date
11/16/2005
Last updated
10/01/2012
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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