Individual
MARY ELISE HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
OSUMC/NATIONWIDE CHILDREN'S MED-PED RESIDENCY PROGRAM, 1405 S. HIGH ST, COLUMBUS, OH 43207
(614) 355-9000
(614) 355-9010
Mailing address
OSU WEXNER MEDICAL CENTER/NATIONWIDE CHILDREN'S MED-PED, 1405 S. HIGH ST., COLUMBUS, OH 43207
(614) 355-9000
(614) 355-9010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.246189
OH
208000000X
Pediatrics Physician
57.246189
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57.246189
STATE MEDICAL BOARD OF OHIO
OH
Enumeration date
03/27/2018
Last updated
09/11/2018
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