Individual
DR. ANITA J. WANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1184 W LOCUST ST, WILMINGTON, OH 45177-2009
(937) 382-1616
(937) 382-7877
Mailing address
1184 W LOCUST ST, WILMINGTON, OH 45177-2009
(937) 382-1616
(937) 382-7877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35054743
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0702770
—
OH
Enumeration date
03/31/2006
Last updated
11/19/2020
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