DAVID VANDELOO MD NPI 1295715175

NPI Information

NPI: 1295715175
Provider Name: DAVID VANDELOO, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
733 W CLAIREMONT AVE
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 838-5222
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David Vandeloo, MD is a pediatrics in Eau Claire, WI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. David Vandeloo, MD NPI is 1295715175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

733 W CLAIREMONT AVE
EAU CLAIRE, WI
ZIP 54701-101
Phone: (715) 838-5222

The enumeration date for this NPI number is 1/18/2006 and was last updated on 4/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		35288	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	32010300	MEDICAID	WISCONSIN
2	F79419	MEDICARE UPIN
3	0171 20195	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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