Individual
KENNETH J. VANDYKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS, MADISON, WI 53792-0001
(608) 263-0572
(608) 263-0575
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
47095
WI
Other
Enumeration date
04/21/2006
Last updated
04/08/2009
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