Individual
DR. JOHANNA S. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2267 VILLAGE MALL DR, ONTARIO, OH 44906-1369
(419) 951-2020
Mailing address
2267 VILLAGE MALL DR, ONTARIO, OH 44906-1369
(419) 951-2020
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.122952
OH
Other
Enumeration date
07/05/2010
Last updated
04/02/2022
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