Individual
GABE RYAN VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 OHIO UNIVERSITY, ATHENS, OH 45701-2942
(740) 593-1000
Mailing address
6654 COUNTY ROAD 146, ZANESFIELD, OH 43360-9707
(937) 593-6813
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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