Individual
DR. HUIBERT MICHIEL VRIESENDORP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH. D.
Contact information
Practice address
100 STRATHMORE DR, SYRACUSE, NY 13207-1650
(131) 529-9698
Mailing address
100 STRATHMORE DR, SYRACUSE, NY 13207-1650
(131) 529-9698
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
223451-1
NY
Other
Enumeration date
04/02/2007
Last updated
07/09/2007
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