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Theresa Lynn Vacheresse, DPM

Podiatrist in Columbus, OH. Individual provider (NPI-1).

NPI number1982609582
StatusActive
Last updated in NPPESDec 29, 2011

Details

NPI
1982609582
Entity type
Individual (NPI-1)
Name
Ms. Theresa Lynn Vacheresse
Credential
DPM
Sex
Female
Sole proprietor
No
Enumeration date
Jun 20, 2005
Last updated
Dec 29, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist36003295OHYes

Practice location

2525 Tiller Ln
Suite 105
Columbus, OH 43231-2267

Phone 614-901-0000 · Fax 614-901-4117

Mailing address

855 W Coshocton St
Johnstown, OH 43031-9587

Phone 614-901-0000 · Fax 614-901-4117

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