Individual
TIMOTHY JOHN VANDERKWAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
609 ASHEVILLE HWY, SYLVA, NC 28779-2747
(828) 586-7697
Mailing address
PO BOX 16948, ASHEVILLE, NC 28816-0948
(828) 670-8403
(828) 670-8404
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2000-00648
NC
207VX0201X
Gynecologic Oncology Physician
Primary
200000648
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126HC
BLUE CROSS
NC
05
—
89126HC
—
NC
Enumeration date
03/17/2006
Last updated
01/04/2022
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