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Individual
WILMA A. MANSFIELD
Active
Individual
WILMA A. MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21086
WV
207Q00000X
Family Medicine Physician
Primary
35-039790
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007616
ANTHEM BCBS
—
01
—
000000181523
UNISON MEDICAID
OH
01
—
001714086
MOUNTAIN STATE BCBS
—
05
—
0056270000
—
WV
01
—
0391759
MOLINA MEDICAID
OH
01
—
080076943
RR MEDICARE
—
01
—
310917085062
CARESOURCE MEDICAID
OH
Enumeration date
06/02/2006
Last updated
02/06/2015
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