| NPI | 1043490543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L VANDERHEYDEN Owner 425-255-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2009-09-22 |