Individual
PATRICIA E. WONGSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1747 BRYDEN RD, COLUMBUS, OH 43205-2221
(614) 581-2115
(614) 261-1700
Mailing address
PO BOX 529, LEWIS CENTER, OH 43035-0529
(614) 581-2115
(614) 261-1700
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35043185
OH
Other
Enumeration date
02/07/2009
Last updated
02/07/2009
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