Provider Demographics
NPI:1699769620
Name:VONWERSSOWETZ, ARTHUR J (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:J
Last Name:VONWERSSOWETZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2337 MCCALLIE AVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-3257
Mailing Address - Country:US
Mailing Address - Phone:423-624-0021
Mailing Address - Fax:423-624-5258
Practice Address - Street 1:2337 MCCALLIE AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-3257
Practice Address - Country:US
Practice Address - Phone:423-624-0021
Practice Address - Fax:423-624-5258
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN8064208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNB59375Medicare UPIN