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Contact Information

VIVIAN VONGRUENIGEN, MD
3909 ORANGE PL STE 4600
BEACHWOOD, OH44122-8400
 Phone: 216-844-3954
 Fax: 216-844-7631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for VIVIAN VONGRUENIGEN · (Female)

NPI # 1437182722
Status Active
Credentials MD
Entity Individual
Enumeration date 07/09/2006
Last updated 03/04/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35-064436
  • OH Medicaid 2086826
  • OH Other 5840608 AETNA
  • OH Other 000000509187 ANTHEM
  • OH Other 743019 BUCKEYE
  • OH Other 0866278 MEDICARE ID
  • OH Other 980000417 RAILROAD MEDICARE
  • OH Other 000000217450 UNISON
  • OH Other 364101 WELLCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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