MICHAEL VAN DYKE

UKIAH, CA
NPI1659578383
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA12445)
Enumeration Date2007-06-27
Last Update Date2007-07-08
Business Address
-- MICHAEL VAN DYKE PA-C
275 HOSPITAL DR
UKIAH, CA 95482-4531
Phone number: 707-462-7900
Mailing Address
-- MICHAEL VAN DYKE PA-C
142 RENZ LN
GEYSERVILLE, CA 95441-9581
Phone number: 707-857-4708