Individual
DR. DAVID ALLEN BETTENHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
912 N VINE STREET, FOSTORIA, OH 44830
(419) 435-2107
(419) 435-3224
Mailing address
912 N VINE STREET, FOSTORIA, OH 44830
(419) 435-2107
(419) 435-3224
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002967
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000172005
ANTHEM
OH
01
—
03050
PARAMOUNT
OH
05
—
2057063
—
OH
Enumeration date
07/14/2006
Last updated
10/30/2013
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