Individual
DR. BETHANY WYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
687 HOPEWELL DR BLDG 2, HEATH, OH 43056-1579
(220) 564-1755
(220) 564-1756
Mailing address
687 HOPEWELL DR BLDG 2, HEATH, OH 43056-1579
(220) 564-1755
(220) 564-1756
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
34-007778
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2386814
—
OH
Enumeration date
07/13/2005
Last updated
03/18/2021
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