Individual
LISA MARIE WONNELL-CHIZMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7053 W CENTRAL AVE, TOLEDO, OH 43617-1114
(419) 843-1370
(419) 843-1362
Mailing address
580 SUGAR MAPLE CT, MAUMEE, OH 43537-2306
(419) 897-7851
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
07055
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2352332
—
OH
Enumeration date
07/14/2005
Last updated
11/13/2007
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