Individual
DR. JENNIFER LYNN WURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3009 SMITH RD STE 350, FAIRLAWN, OH 44333-2670
(330) 665-4488
(330) 665-4489
Mailing address
3009 SMITH RD STE 350, FAIRLAWN, OH 44333-2670
(330) 665-4488
(330) 665-4489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-08-2161
OH
207Q00000X
Family Medicine Physician
Primary
35082161W
OH
Other
Enumeration date
12/30/2005
Last updated
11/20/2024
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