person
Frederic J Van Dis, MD
Cardiovascular Disease Physician in Roseburg, Oregon
NPI 1093786261

Frederic J Van Dis is a Cardiovascular Disease Physician based in Roseburg, OR and is specialized in Cardiovascular Disease. Frederic J Van Dis practices in Roseburg, OR and has the professional credentials of MD. The NPI Number for Frederic J Van Dis is 1093786261 and holds a License No. MD12356 (Oregon).

The current practice location address for Frederic J Van Dis is 2801 Nw Mercy Dr, Roseburg, OR and can be reached out via phone at 541-677-1555 and via fax at 541-677-6543. You can also correspond with Frederic J Van Dis through the mailing address at 201 NW MEDICAL LOOP STE 190, ROSEBURG, OR - 97471-8835 (mailing address contact number: 541-677-4319).

Location: 2801 Nw Mercy Dr, Roseburg, OR, 97471-8835
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Provider Profile Details
NPI Number
1093786261
Provider Name
Frederic J Van Dis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2801 Nw Mercy Dr, Roseburg, OR, 97471-8835
Phone Number
541-677-1555
Fax Number
541-677-6543
Provider Enumeration Date
01/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060070869 01 OR RAILROAD MEDICARE
MD12356 01 OR LICENSE
114173 05 OR
institution
Provider Business Practice Location Address Details
Address
2801 Nw Mercy Dr
City
State
Zip
97471
Phone Number
541-677-1555
Fax Number
541-677-6543
person
Provider Business Mailing Address Details
Address
201 Nw Medical Loop Ste 190
City
State
Zip
97471-8835
Phone Number
541-677-4319
Fax Number
541-677-2294
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
MD12356 (Oregon)
Definition
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.
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