Individual
JACQUELINE E WUNDERLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
199 W. MAIN STREET, SHELBY, OH 44875-0000
(419) 342-5015
Mailing address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 526-8000
(419) 526-8834
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.120343
OH
Other
Enumeration date
05/15/2009
Last updated
06/14/2013
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