NPI 1003072448

Sebastian Vincent Demyttenaere, MD

Practitioner Surgery Physician Columbus, OH

Practice location

Address: 4830 Knightsbridge Blvd Suite J, Columbus, OH 43214-2300
Phone: (614) 293-3230
Fax: (614) 293-4030
Mailing address: 700 Ackerman Rd Suite 350, Columbus, OH 43202-1559

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 35091416 (OH)

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Registry record

NPI: 1003072448
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2008
Record last updated: 5 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.