Most Relevant Information
Provider Data
| NPI Number: | 1003072448 |
| Provider Name: | SEBASTIAN VINCENT DEMYTTENAERE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | 35091416 |
Most Important Dates
| Enumeration Date: | 08/05/2008 |
| Last Updated: | 08/05/2008 |
Provider Practice Location
4830 KNIGHTSBRIDGE BLVD
SUITE J
COLUMBUS
OH
432142300
Practice Location Phone/Fax
| Phone: | 6142933230 |
| Fax: | 6142934030 |
Provider Mailing Location
700 ACKERMAN RD
SUITE 350
COLUMBUS
OH
432021559
Provider Mailing Phone/Fax
| Phone: | 6142933230 |
| Fax: | 6142934030 |
Suggested EMR
Surgeon EMR