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Individual

DR. ARI M. VANDERWALDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
Mailing address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A97490
CA
207RX0202X
Medical Oncology Physician
Primary
A97490
CA

Other

Enumeration date
10/01/2007
Last updated
03/07/2016
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