Individual
CLAYTON ELLIS WISELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
793 W STATE ST, COLUMBUS, OH 43222-1551
(614) 234-5000
Mailing address
793 W STATE ST, COLUMBUS, OH 43222-1551
(614) 234-5000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2016
Last updated
03/30/2016
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