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Individual

JOHN VALADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7640 SYLVANIA AVE, D1, SYLVANIA, OH 43560-9729
(419) 841-4099
(419) 841-8125
Mailing address
7640 SYLVANIA AVE, D1, SYLVANIA, OH 43560-9729
(419) 841-4099
(419) 841-8125

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35061332
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000051547
ANTHEM
01
01357
PARAMOUNT
OH
05
2757977
OH
01
P00403187
RRMED
Enumeration date
08/12/2005
Last updated
02/03/2011
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