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Individual

DR. DENTON H. WYSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22927 COUNTY ROAD J, ARCHBOLD, OH 43502-9747
(216) 469-3215
(216) 651-5531
Mailing address
22927 COUNTY ROAD J, ARCHBOLD, OH 43502-9747
(216) 469-3215
(216) 651-5531

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35036443
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0329166
OH
Enumeration date
10/03/2006
Last updated
08/21/2012
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