Individual provider · Type 1 NPI

Gabriel John Van Dyck, DO

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1861245649 Active

Practice location

620 Shadow Ln
Las Vegas, NV 89106-4119

Call (702) 888-4000 Map

Mailing address

3901 Sunnyside Rd Apt 305
Minneapolis, MN 55424-4002

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1861245649

Gabriel John Van Dyck, DO's National Provider Identifier is 1861245649, issued on Apr 10, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 15, 2024.