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Individual

ALEXANDER B VAN WYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2915 HUBBELL AVE, DES MOINES, IA 50317-3716
(515) 266-0214
(515) 263-9183
Mailing address
2915 HUBBELL AVE, DES MOINES, IA 50317-3716

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05150
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00297
WELLMARK BCBS
IA
01
237516
MIDLANDS CHOICE
IA
Enumeration date
10/03/2006
Last updated
07/08/2007
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