DESIREE ETTALEE VAN DYNE

COLUMBUS, OH
NPI1528343613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OH  50.003418RX)
Additional Taxonomies363A00000X Physician Assistant
(Licence: KY  TC224)
363A00000X Physician Assistant
(Licence: KY  PA3049)
Enumeration Date2011-10-20
Last Update Date2023-10-02
Business Address
Ms. DESIREE ETTALEE VAN DYNE PA
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214-3998
Phone number: 614-566-5000
Mailing Address
Ms. DESIREE ETTALEE VAN DYNE PA
3535 OLENTANGY RIVER RD STE 2010
COLUMBUS, OH 43214-3998
Phone number: 614-566-5000