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Ann Cook Van De Walle, MED
Student in an Organized Health Care Education/Training Program in Independence, Ohio
NPI 1104558386

Ann Cook Van De Walle is a Student in an Organized Health Care Education/Training Program based in Cleveland, OH. Ann Cook Van De Walle practices in Independence, OH and has the professional credentials of MED. The NPI Number for Ann Cook Van De Walle is 1104558386 and holds a License No. (Ohio).

The current practice location address for Ann Cook Van De Walle is 5905 Brecksville Rd, Independence, OH and can be reached out via phone at 216-524-4673.

Location: 5905 Brecksville Rd, Independence, OH, 44124-5125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104558386
Provider Name
Ann Cook Van De Walle
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
5905 Brecksville Rd, Independence, OH, 44124-5125
Phone Number
216-524-4673
Fax Number
Provider Enumeration Date
06/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5905 Brecksville Rd
City
Independence
State
Ohio
Zip
44131-1517
Phone Number
216-524-4673
Fax Number
person
Provider Business Mailing Address Details
Address
5905 Brecksville Rd
City
Independence
State
Ohio
Zip
44131-1517
Phone Number
216-524-4673
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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