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Todd L Vandenberg, MD
Urology Physician in West Columbia, South Carolina
NPI 1558367623

Todd L Vandenberg is a Urology Physician based in Brentwood, SC. Todd L Vandenberg practices in West Columbia, SC and has the professional credentials of MD. The NPI Number for Todd L Vandenberg is 1558367623 and holds a License No. 20877 (South Carolina).

The current practice location address for Todd L Vandenberg is 222 E Medical Ln Ste 101, West Columbia, SC and can be reached out via phone at 803-739-3660 and via fax at 803-739-3663.

Location: 222 E Medical Ln Ste 101, West Columbia, SC, 37027-5098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558367623
Provider Name
Todd L Vandenberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
222 E Medical Ln Ste 101, West Columbia, SC, 37027-5098
Phone Number
803-739-3660
Fax Number
803-739-3663
Provider Enumeration Date
06/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340017144 01 SC RAILROAD MEDICARE
208778 05 SC
1904812 01 SC PHP
institution
Provider Business Practice Location Address Details
Address
222 E Medical Ln Ste 101
City
West Columbia
State
South Carolina
Zip
29169-4850
Phone Number
803-739-3660
Fax Number
803-739-3663
person
Provider Business Mailing Address Details
Address
222 E Medical Ln Ste 101
City
West Columbia
State
South Carolina
Zip
29169-4850
Phone Number
803-739-3660
Fax Number
803-739-3663
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
20877 (South Carolina)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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