Individual
DENNIS A VIDMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10701 EAST BOULEVARD, DEPARTMENT OF DERMATOLOGY, VAMC WADE PARK, CLEVELAND, OH 44106-2832
(216) 791-3800
Mailing address
10701 EAST BOULEVARD DEPARTMENT OF DERMATOLOGY, VAMC WADE PARK, CLEVELAND OHIO, CLEVELAND, OH 44106
(216) 791-3800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD070019L
PA
207ND0900X
Dermatopathology Physician
MD070019L
PA
Other
Enumeration date
07/29/2005
Last updated
05/06/2021
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