IndividualActive
Mark Van Dyke, DO
NPI 1407906613 · Addiction Medicine (Internal Medicine) Physician · Erie, PA
Provider details
- NPI number
- 1407906613
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OS006067E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
306 W 11th St 2nd Fl
Erie, PA 16501-1705
Phone: (814) 240-6216
Fax: (814) 240-6219
Approximate (ZIP-level) locationGet directions
Mailing address
306 W 11th St
Erie, PA 16501-1746
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2018-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.