Provider Demographics
NPI:1841421377
Name:VANROEKEL, THOMAS BRITTON (CFA)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:BRITTON
Last Name:VANROEKEL
Suffix:
Gender:M
Credentials:CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 5TH ST
Mailing Address - Street 2:CV SURGERY - HEART CENTER 5TH FLOOR
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51101-1326
Mailing Address - Country:US
Mailing Address - Phone:712-294-7000
Mailing Address - Fax:712-294-7001
Practice Address - Street 1:801 5TH ST
Practice Address - Street 2:CV SURGERY - HEART CENTER 5TH FLOOR
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101-1326
Practice Address - Country:US
Practice Address - Phone:712-294-7000
Practice Address - Fax:712-294-7001
Is Sole Proprietor?:No
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA94983246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant