Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK WILLIAM VAN DYKE, DO
ActiveMARK WILLIAM VAN DYKE, DO is a Addiction Medicine (Internal Medicine) healthcare provider located in ERIE, Pennsylvania. NPI 1407906613 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · ERIE, PA
Registration Details
- NPI Number
- 1407906613
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2007 (19.625784293171 yrs)
- Last Updated
- Apr 10, 2018
- Licenses
-
OS006067E (PA)OS006067E (PA)OS006067E (PA)
Practice Information
- Address
-
306 W 11TH ST 2ND FLERIE, PA, 165011705Browse PA providers · Browse ZIP 16501
- Phone
- 8142406216
- Fax
- 8142406219
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
- Additional Specialty
- Occupational Medicine
- Additional Specialty
- Addiction Medicine (Internal Medicine)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.