Individual
DR. CHARLES WILTROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
471 E BROAD ST, SUITE 1400, COLUMBUS, OH 43215-3842
(336) 274-9617
Mailing address
1331 N ELM ST, SUITE 200, GREENSBORO, NC 27401-6302
(336) 274-9617
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125052455
IL
2085R0202X
Diagnostic Radiology Physician
35126135
OH
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35126135
OH
Other
Enumeration date
08/26/2008
Last updated
09/28/2021
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