Johanna S. Wilson MD

NPI 1619289881 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1619289881
Gender Female
Enumeration Date 07/05/2010
Last Updated 06/11/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
1221 S TRIMBLE RD BLDG C
MANSFIELD OH, 44907-2200, US
Phone (419) 605-9817
Fax (419) 775-3225
Business Location
1221 S TRIMBLE RD BLDG C
MANSFIELD OH, 44907-2200, US
Phone (419) 605-9817
Fax (419) 775-3225
Toxanomy
Taxonomy Code 2084P0800X
License State Ohio
License Number 35.122952
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According to our database, Dr. Johanna S. Wilson MD NPI is 1619289881, taxonomy code is 2084P0800X and license number is 35.122952, license state is located at Ohio. Johanna S. Wilson MD physically located at 1221 S Trimble Rd Bldg C, Mansfield OH, 44907-2200. NPI Number Johanna S. Wilson MD has the Individual type.

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1619289881 NPI number is provided on an as is basis without warranty of any kind. 1619289881 is maintained by the National Plan & Provider Enumeration System. The contents of Johanna S. Wilson MD are for informational purposes only.