Individual
JON ROBERT VANDERWEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
140 W 6TH ST, OSWEGO, NY 13126-2525
(315) 349-5826
(315) 349-5829
Mailing address
140 W 6TH ST STE 210, OSWEGO, NY 13126-2554
(315) 349-5828
(315) 349-5829
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
296514-01
NY
Other
Enumeration date
02/02/2006
Last updated
10/16/2025
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