Individual
PETER E VONDERAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 AKERS FARM ROAD, SUITE C, CHRISTIANSBURG, VA 24073-4867
(540) 552-7133
(540) 251-3516
Mailing address
P. O. BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 215-3063
(605) 341-4501
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101277437
VA
208100000X
Physical Medicine & Rehabilitation Physician
7446
SD
208VP0014X
Interventional Pain Medicine Physician
7446
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174500821
TLC ADVANTAGE, L.L.C.
SD
05
—
1174500821
—
SD
01
—
23-00706
MEDICA
SD
Enumeration date
12/23/2005
Last updated
07/11/2023
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