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Individual
DR. JENNIFER MARY VANDEMARK
Active
Individual
DR. JENNIFER MARY VANDEMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005881
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-11888
EVERCARE
—
01
—
3705064000
KEYSTONE/PERSONAL CHOICE BCBS
—
01
—
611455212001
TRICARE
—
01
—
VA2091879
HIGHMARK BCBS
—
Enumeration date
02/22/2008
Last updated
02/26/2026
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