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Mark William Van Dyke, DO
Addiction Medicine (Internal Medicine) Physician in Erie, Pennsylvania
NPI 1407906613

Mark William Van Dyke is an Addiction Medicine (Internal Medicine) Physician based in Erie, PA and is specialized in Addiction Medicine. Mark William Van Dyke practices in Erie, PA and has the professional credentials of DO. The NPI Number for Mark William Van Dyke is 1407906613 and holds a License No. OS006067E (Pennsylvania).

The current practice location address for Mark William Van Dyke is 306 W 11Th St 2Nd Fl, Erie, PA and can be reached out via phone at 814-240-6216 and via fax at 814-240-6219. You can also correspond with Mark William Van Dyke through the mailing address at 306 W 11TH ST, ERIE, PA - 16501-1746 (mailing address contact number: 814-240-6216).

Location: 306 W 11Th St 2Nd Fl, Erie, PA, 16501-1746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407906613
Provider Name
Mark William Van Dyke
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
306 W 11Th St 2Nd Fl, Erie, PA, 16501-1746
Phone Number
814-240-6216
Fax Number
814-240-6219
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0011147300006 05 PA
institution
Provider Business Practice Location Address Details
Address
306 W 11Th St 2Nd Fl
City
Erie
State
Pennsylvania
Zip
16501-1705
Phone Number
814-240-6216
Fax Number
814-240-6219
person
Provider Business Mailing Address Details
Address
306 W 11Th St
City
Erie
State
Pennsylvania
Zip
16501-1746
Phone Number
814-240-6216
Fax Number
814-240-6219
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
OS006067E (Pennsylvania)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
OS006067E (Pennsylvania)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Occupational Medicine
Taxonomy
2083X0100X
License No.
OS006067E (Pennsylvania)
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
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