Organization
ELYRIA OBSTETRICS & GYNECOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN E WISLER MD (CEO)
(440) 329-7330
Entity
Organization
Contact information
Practice address
125 E BROAD ST, SUITE 302, ELYRIA, OH 44035-6400
(440) 329-7330
Mailing address
PO BOX 1966, ELYRIA, OH 44036-1966
(440) 329-7330
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0632186
—
OH
Enumeration date
09/12/2007
Last updated
04/20/2008
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