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Individual

SHANNON MARIE WRONKOWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3020 N MCCORD RD STE 100, TOLEDO, OH 43615-1701
(419) 517-7658
Mailing address
3020 N MCCORD RD STE 100, TOLEDO, OH 43615-1701

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35089683
OH
208M00000X
Hospitalist Physician
Primary
35089683
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2758903
OH
Enumeration date
06/19/2007
Last updated
04/09/2025
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