Organization
WISSAM HOTEIT MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WISSAM HOTEIT MD (OWNER)
(419) 885-0200
Entity
Organization
Contact information
Practice address
4841 YOSEMITE PKWY, SYLVANIA, OH 43560-4341
(419) 885-0200
Mailing address
PO BOX 8440, TOLEDO, OH 43623-0440
(419) 885-0200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070488
—
OH
Enumeration date
11/15/2018
Last updated
11/15/2018
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