Individual
DR. CRISTIAN JEREMIAH VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1110 W OMAHA ST STE 3, RAPID CITY, SD 57701-8119
(605) 721-5950
(605) 721-5940
Mailing address
1001 E 5TH AVE, MITCHELL, SD 57301-2915
(605) 630-9978
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2081
SD
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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