Individual provider · Type 1 NPI
Mark William Van Dyke, DO
Addiction Medicine (Internal Medicine) Physician · Erie, PA
Practice location
306 W 11th St 2nd Fl
Erie, PA 16501-1705
Fax (814) 240-6219
Mailing address
306 W 11th St, 2nd Floor
Erie, PA 16501-1746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | OS006067E (PA) |
| Occupational Medicine Physician | 2083X0100X | OS006067E (PA) |
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | OS006067E (PA) |
Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
About NPI 1407906613
Mark William Van Dyke, DO's National Provider Identifier is 1407906613, issued on Jan 11, 2007. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Erie, PA. The record was last updated on Apr 10, 2018.