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Ian Van Der Weg

NPI 1497132112 · on the registry since 2015 · sole proprietor

Practice

Address
307 Lakewood Dr
North Newton, KS 67117
Phone
(316) 288-1583

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas