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Individual

DR. GERRIT IAN VAN SCHALKWYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5770 S 1500 W, TAYLORSVILLE, UT 84123-5216
(801) 313-7770
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11866360-1205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
053229
CT
2084P0804X
Child & Adolescent Psychiatry Physician
11866360-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/19/2012
Last updated
10/01/2021
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