NPI 1003398256
Gavin van de Walle, MSRD
Practice location
- Address
- 1601 E 77th St APT 1428, Sioux Falls, SD 57108-3036
- Phone
- (605) 323-7222
- Mailing address
- PO Box 210, Sioux Falls, SD 57101-0210
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1003398256
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Sep 2018
- Record last updated
- 14 Mar 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.