National Provider Identifier

Jon R Vonvisger, M.D.

Jon R Vonvisger, M.D. is listed in the NPPES registry with a primary specialty of Nephrology Physician in Buffalo, NY and a listed phone number of (716) 898-3000.

NPI 1518974864Buffalo, NYNephrology Physician

Profile Overview

NPI
1518974864
Provider Type
Individual
Primary Specialty
Nephrology Physician
Enumeration Date
August 01, 2006
Last Updated
March 17, 2018

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3021

Phone: (716) 898-3000

Mailing Address

  • 908 Niagara Falls Blvd Ste 208
  • North Tonawanda, NY 14120-2019

Specialties

  • Nephrology Physician (207RN0300X)
  • Nephrology Physician (207RN0300X)
Full Record
NPI
1518974864
Entity Type
Individual
Last Name
Vonvisger
First Name
Jon
Middle Name
R
Credential
M.D.
Mailing Street Address
908 Niagara Falls Blvd Ste 208
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-2019
Mailing Country
US
Mailing Phone
(716) 692-3302
Mailing Fax
(716) 692-4342
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 898-3000
Enumeration Date
August 01, 2006
Last Updated
March 17, 2018
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nephrology Physician (207RN0300X), Nephrology Physician (207RN0300X)
Other Identifiers
2562945 (OH)