Individual
DR. EVAN JOHN WUTHRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 WEST 10TH AVENUE, JAMES CANCER CENTER, DEPARTMENT OF RADIATION ONCOLOGY, COLUMBUS, OH 43210
(614) 366-3886
Mailing address
3931 NEWHALL RD, UPPER ARLINGTON, OH 43220-4865
(614) 824-2439
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35.097860
OH
390200000X
Student in an Organized Health Care Education/Training Program
MT188837
PA
Other
Enumeration date
05/16/2007
Last updated
08/30/2011
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