Individual
STEVEN WYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3727 FRIENDSVILLE RD, SUITE 6, WOOSTER, OH 44691-7131
(330) 263-8360
(330) 263-8190
Mailing address
3727 FRIENDSVILLE RD, SUITE 6, WOOSTER, OH 44691-7131
(330) 263-8360
(330) 263-8190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-00-1571
OH
363A00000X
Physician Assistant
5601004340
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2630700
—
OH
Enumeration date
10/05/2006
Last updated
11/01/2016
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