Individual
MRS. KATHERINE MARIE VONNIEDERHAUSERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1832 GARDEN ST, TITUSVILLE, FL 32796
(321) 264-1961
(321) 264-0472
Mailing address
216 PARKER DRIVE, TITUSVILLE, FL 32780
(321) 749-8112
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
PA9103352
FL
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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