KATRINA T VANDERVEEN

MISHAWAKA, IN
NPI1194710541
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: IN  01058810)
Additional Taxonomies2085B0100X Radiology Body Imaging
(Licence: IN  01058810)
2085N0700X Radiology Neuroradiology
(Licence: IN  01058810)
2085N0904X Radiology Nuclear Radiology
(Licence: IN  01058810)
2085P0229X Radiology Pediatric Radiology
(Licence: IN  01058810)
2085R0203X Radiology Therapeutic Radiology
(Licence: IN  01058810)
2085R0204X Radiology Vascular & Interventional Radiology
(Licence: IN  01058810)
2085U0001X Radiology Diagnostic Ultrasound
(Licence: IN  01058810)
Enumeration Date2005-09-13
Last Update Date2013-05-16
Business Address
KATRINA T VANDERVEEN MD
620 W EDISON RD SUITE 110
MISHAWAKA, IN 46545-2784
Phone number: 574-258-1100
Mailing Address
KATRINA T VANDERVEEN MD
620 W EDISON RD SUITE 110
MISHAWAKA, IN 46545-2784
Phone number: 574-258-1100