Individual
DR. GERRY M. VANDER VELDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9630 BRUCEVILLE RD, STE 106-186, ELK GROVE, CA 95757-5512
(775) 527-5145
Mailing address
9630 BRUCEVILLE RD, STE 106-186, ELK GROVE, CA 95757-5512
(775) 527-5145
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A-115001
CA
Other
Enumeration date
07/31/2008
Last updated
10/28/2012
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