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General NPI Number Information
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NPI Number | 1952391831
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Entity Type | Individual
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Provider Name | WILLIAM S. VANCISE MD
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Gender | Male
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 05/20/2020
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Provider Practice Location Address
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Address Line | 2390 ENTERPRISE ST
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City | FREMONT
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State | OH
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Zip | 43420-8507
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Country | US
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Telephone | 419-559-2700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 936 EVMS HEALTH SERVICES
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City | NORFOLK
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State | VA
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Zip | 23501-0936
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Country | US
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Telephone | 757-388-3483
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Fax | 757-627-0334
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 0101251598
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 35.125388
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License Number State | OH
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