Individual
DONALD CUNDIFF JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 HAYES AVE STE B, SANDUSKY, OH 44870-3345
(419) 557-6990
Mailing address
1912 HAYES AVE STE 1E, SANDUSKY, OH 44870-4736
(419) 557-5541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-05-5630-C
OH
207RB0002X
Obesity Medicine (Internal Medicine) Physician
253754
MA
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
35.055630
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0779840
—
OH
Enumeration date
06/01/2006
Last updated
04/14/2022
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