Male or Other

Gary L. Vangaasbeek MD

Full Name

Gary Lee Vangaasbeek MD

NPI Number

1316049075

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/02/2006

Specialties

(Taxonomies)

Code

207VG0400X
207VX0000X

Primary Taxonomy

No
No

Licenses

State

Indiana

License Number

01050587A

Contact
Information

Purpose

Mailing
Location

Address

266 ATWOOD ST
266 ATWOOD ST

City

Corydon
Corydon

State

IN
IN

Postal Code

47112
47112

Country

US
US

Telephone Number

(812) 738-4111
(812) 738-4111

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address