Individual
DR. VINCENT D WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
208 COLUMBUS ST, HICKSVILLE, OH 43526-1250
(419) 542-6692
Mailing address
208 COLUMBUS ST, HICKSVILLE, OH 43526-1250
(419) 542-6692
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35052263
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0624551
—
OH
Enumeration date
01/13/2006
Last updated
04/17/2017
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