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Benjamin Maximilian Vannorden Tartter
Student in an Organized Health Care Education/Training Program in Kettering, Ohio
NPI 1720668031

Benjamin Maximilian Vannorden Tartter is a Student in an Organized Health Care Education/Training Program based in Kettering, OH. Benjamin Maximilian Vannorden Tartter practices in Kettering, OH. The NPI Number for Benjamin Maximilian Vannorden Tartter is 1720668031 and holds a License No. 320722 (Ohio).

The current practice location address for Benjamin Maximilian Vannorden Tartter is 3525 Southern Blvd, Kettering, OH and can be reached out via phone at 937-395-8839 and via fax at 937-395-8387.

Location: 3525 Southern Blvd, Kettering, OH, 45429-1221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720668031
Provider Name
Benjamin Maximilian Vannorden Tartter
Credential
Provider Entity Type
Individual
Gender
Male
Address
3525 Southern Blvd, Kettering, OH, 45429-1221
Phone Number
937-395-8839
Fax Number
937-395-8387
Provider Enumeration Date
04/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3525 Southern Blvd
City
Kettering
State
Ohio
Zip
45429-1221
Phone Number
937-395-8839
Fax Number
937-395-8387
person
Provider Business Mailing Address Details
Address
3525 Southern Blvd
City
Kettering
State
Ohio
Zip
45429-1221
Phone Number
937-395-8839
Fax Number
937-395-8387
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
320722 (New York)
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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