Individual
JACKIE VANNUYEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5300 HARROUN RD, SUITE 226, SYLVANIA, OH 43560-2182
(419) 824-5640
(419) 824-5744
Mailing address
5300 HARROUN RD, SUITE 226, SYLVANIA, OH 43560-2182
(419) 824-5640
(419) 824-5744
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.086025
OH
Other
Enumeration date
12/05/2005
Last updated
11/03/2023
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