DONALD T VAN DE WATER

COUNCIL BLUFFS, IA
NPI1710923800
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: NE  18576)
Additional Taxonomies2085R0202X Radiology Diagnostic Radiology
(Licence: IA  21318)
Enumeration Date2006-06-20
Last Update Date2023-03-07
Business Address
DONALD T VAN DE WATER MD
800 MERCY DR ALEGENT MERCY HOSPITAL DEPT OF RADIOLOGY
COUNCIL BLUFFS, IA 51503-3128
Phone number: 712-328-5100
Mailing Address
DONALD T VAN DE WATER MD
PO BOX 4460
OMAHA, NE 68104
Phone number: 866-491-5807
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