Organization
DPMWOLERYPROH LLC
Active
Organization
DPMWOLERYPROH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M WOLERY DPM (OWNER)
(740) 355-3095
Entity
Organization
Contact information
Practice address
818 GAY ST, PORTSMOUTH, OH 45662-4119
(740) 355-3095
(740) 355-3935
Mailing address
818 GAY ST, PORTSMOUTH, OH 45662-4119
(740) 355-3095
(740) 355-3935
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36.001607
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166378
—
OH
Enumeration date
05/26/2006
Last updated
08/22/2020
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