Individual
MS. SHELLEY LYNN WYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
388 DAMASCUS RD, MARYSVILLE, OH 43040-5535
(937) 578-4040
(937) 578-2591
Mailing address
200 BRADENTON AVE, DUBLIN, OH 43017-7515
(937) 578-4040
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50-00-1164
OH
Other
Enumeration date
05/28/2008
Last updated
04/11/2017
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