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NPI Profile for FREDERIC J VAN DIS in ROSEBURG, OR.
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine |
| NPI # | 1093786261 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 01/27/2006 | |
| Last updated | 05/26/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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FREDERIC J VAN DIS
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FREDERIC J VAN DIS, MD