Individual
MARK VANVUUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1951 S MAIN AVE, SIOUX CENTER, IA 51250-1173
(712) 722-3516
Mailing address
1951 S MAIN AVE, SIOUX CENTER, IA 51250-1173
(712) 722-3516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18283
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IA18283
—
IA
Enumeration date
02/13/2023
Last updated
02/13/2023
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