Individual
DR. WILLIAM S. VANCISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2390 ENTERPRISE ST, FREMONT, OH 43420-8507
(419) 559-2700
Mailing address
PO BOX 936, EVMS HEALTH SERVICES, NORFOLK, VA 23501-0936
(757) 388-3483
(757) 627-0334
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
0101251598
VA
2085R0001X
Radiation Oncology Physician
Primary
35.125388
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10091624
OPTIMA HEALTH
VA
01
—
1952391831
UNITED HEALTHCARE
VA
05
—
1952391831
—
VA
01
—
457165
ANTHEM BC/BS
VA
05
—
5919914
—
NC
01
—
PAR
VIRGINIA HEALTH NETWORK
VA
Enumeration date
10/24/2005
Last updated
05/20/2020
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