Individual
JON R VONVISGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3000
Mailing address
908 NIAGARA FALLS BLVD STE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
291613
NY
207RN0300X
Nephrology Physician
35086176
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2562945
—
OH
Enumeration date
08/01/2006
Last updated
03/17/2018
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