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1114999463
BRUCE J VANDERKOOI
STORM LAKE, IA
NPI
1114999463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 19043)
Enumeration Date
2006-02-02
Last Update Date
2007-09-25
Business Address
-- BRUCE J VANDERKOOI MD
620 NORTHWESTERN DR
STORM LAKE, IA 50588-2935
Phone number: 712-732-5030
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Mailing Address
-- BRUCE J VANDERKOOI MD
24 N 9TH ST SUITE A
FORT DODGE, IA 50501-3909
Phone number: 515-574-6890
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