Individual
MARY ELLEN WISSEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
995 E BROAD ST, COLUMBUS, OH 43205-1322
(614) 253-2740
(614) 253-2937
Mailing address
995 E BROAD ST, COLUMBUS, OH 43205-1322
(614) 253-2740
(614) 253-2937
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
35.047498
OH
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
35.047498
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149011
—
OH
Enumeration date
03/14/2006
Last updated
09/11/2025
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