person
Ester P J Van Der Wal, MD
Diagnostic Radiology Physician in South Bend, Indiana
NPI 1508805466

Ester P J Van Der Wal is a Diagnostic Radiology Physician based in Indianapolis, IN and is specialized in Diagnostic Radiology. Ester P J Van Der Wal practices in South Bend, IN and has the professional credentials of MD. The NPI Number for Ester P J Van Der Wal is 1508805466 and holds a License No. 01053280 (Indiana).

The current practice location address for Ester P J Van Der Wal is 121 S Saint Louis Blvd, South Bend, IN and can be reached out via phone at 574-233-3123. You can also correspond with Ester P J Van Der Wal through the mailing address at 250 N SHADELAND AVE, INDIANAPOLIS, IN - 46219-4959 (mailing address contact number: ).

Location: 121 S Saint Louis Blvd, South Bend, IN, 46219-4959
person
Provider Profile Details
NPI Number
1508805466
Provider Name
Ester P J Van Der Wal
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
121 S Saint Louis Blvd, South Bend, IN, 46219-4959
Phone Number
574-233-3123
Fax Number
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000374875 01 IN ANTHEM BCBS
200522070 05 IN
P00742719 01 IN RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
121 S Saint Louis Blvd
City
State
Zip
46617-2924
Phone Number
574-233-3123
Fax Number
person
Provider Business Mailing Address Details
Address
121 S Saint Louis Blvd
City
State
Zip
46617-2924
Phone Number
574-233-3123
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
01053280 (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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