Nicholas Robert Vanmalderen D.O.

NPI 1396945655 - Emergency Medicine - 207P00000X

NPI Details
NPI 1396945655
Gender Male
Enumeration Date 07/24/2007
Last Updated 03/25/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
5400 BOURBON ST
COLUMBUS OH, 43221-5564, US
Phone (740) 707-3761
Fax
Business Location
5400 BOURBON ST
COLUMBUS OH, 43221-5564, US
Phone (740) 707-3761
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Ohio
License Number 34.009948
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According to our database, Nicholas Robert Vanmalderen D.O. NPI is 1396945655, taxonomy code is 207P00000X and license number is 34.009948, license state is located at Ohio. Nicholas Robert Vanmalderen D.O. physically located at 5400 Bourbon St, Columbus OH, 43221-5564. NPI Number Nicholas Robert Vanmalderen D.O. has the Individual type.

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1396945655 NPI number is provided on an as is basis without warranty of any kind. 1396945655 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas Robert Vanmalderen D.O. are for informational purposes only.