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Benjamin Maximilian Vannorden Tartter

NPI Registration Record

Provider / OrganizationNPIDate Certified
BENJAMIN MAXIMILIAN VANNORDEN TARTTER17206680312021-04-11

Benjamin Maximilian Vannorden Tartter is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1720668031. Registration indicates Benjamin Maximilian Vannorden Tartter is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider Name Benjamin Maximilian Vannorden Tartter
Practice Office Address3525 SOUTHERN BLVD
KETTERING, OH US
Practice Office Telephone9373958839
Practice Office Fax9373958387
Mailing Address3525 SOUTHERN BLVD
KETTERING, OH 454291221 US
Business Telephone9373958839
Business Fax9373958387
HPT Codes
CodePractice
License No
State
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
OPI Codes
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