Individual
DONALD F VANBEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 WISCONSIN AMERICAN DR, STE #265, FOND DU LAC, WI 54935-2999
(920) 907-7400
(920) 907-7401
Mailing address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 907-7400
(920) 907-7401
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23895
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020026726
MEDICARE ID
WI
05
—
30714800
—
WI
Enumeration date
08/23/2005
Last updated
11/30/2021
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