Individual
ANDREW DEAN VANOSDOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1445 NORTH AVE, SPEARFISH, SD 57783-1552
(605) 644-4170
Mailing address
353 FAIRMONT BLVD, ATTN MSS, RAPID CITY, SD 57701-7375
(605) 755-8107
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9896
SD
Other
Enumeration date
04/20/2010
Last updated
01/05/2018
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