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1124064407
VANCE V VANDRAKE
FORT WAYNE, IN
NPI
1124064407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: IN 01030783)
Enumeration Date
2006-06-22
Last Update Date
2022-10-20
Business Address
VANCE V VANDRAKE MD
11104 PARKVIEW CIRCLE DR SUITE 310
FORT WAYNE, IN 46845-1672
Phone number: 260-266-5230
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Mailing Address
VANCE V VANDRAKE MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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