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Individual

VITUS N NWAELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 7TH AVE SW, ALBANY, OR 97321-1925
(541) 812-4970
Mailing address
1100 7TH AVE SW, ALBANY, OR 97321-1925

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD167801
OR

Other

Enumeration date
07/21/2011
Last updated
07/29/2014
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