| Doctor Name: | DR. JAMES BEREND VAN DELDEN |
| NPI Number: | 1467477471 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 16596 |
| Business Practice Address: | 100 Indian Hills Drive Macy, NE - 680390250 |
| Business Phone Number: | 4028375381 |
| Business Fax Number: | 4028375303 |
| Mailing Address: | 902 Nebraska St, WAYNE |
| State: | NE |
| Postal Code: | 687871428 |
| Phone Number: | 4028335531 |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16596 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |