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Individual

ROBERT A VANDE STOUWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PH D

Contact information

Practice address
ONE RICHLAND MEDICAL PARK, SUITE 200 CAROLINA ALLERGY AND ASTHMA CONSULTANTS, COLUMBIA, SC 29203
(803) 765-9233
(803) 779-0344
Mailing address
ONE RICHLAND MEDICAL PARK, SUITE 200 CAROLINA ALLERGY AND ASTHMA CONSULTANTS, COLUMBIA, SC 29203
(803) 765-9233
(803) 779-0344

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
11671
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116715
SC
Enumeration date
08/22/2006
Last updated
10/17/2007
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