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Individual

DR. JACOB J VANDERSTEENHOVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 936-8146
(803) 936-8916
Mailing address
PO BOX 2375, WEST COLUMBIA, SC 29171-2375
(803) 252-1913
(803) 252-2330

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
22308
SC
207ZN0500X
Neuropathology Physician
22308
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
22308
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
223083
SC
Enumeration date
01/31/2006
Last updated
02/04/2016
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