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Individual

CALVIN VANREKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FOOTHILL RD STE 1, RENO, NV 89511-5409
(775) 358-1717
(775) 358-8862
Mailing address
55 FOOTHILL RD STE 1, RENO, NV 89511-5409
(775) 358-1717
(775) 358-8862

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
NV4220
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100504442
NV
Enumeration date
11/21/2006
Last updated
03/26/2012
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