Individual
MARCIETTA R WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3600 KOLBE RD STE 210, LORAIN, OH 44053-1652
(440) 960-3912
(440) 960-3913
Mailing address
525 E MARKET ST, AKRON, OH 44304-1619
(330) 375-6350
(330) 375-4020
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34.008316
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007282000
—
FL
05
—
0236248
—
OH
05
—
2493869
—
OH
Enumeration date
02/17/2006
Last updated
09/24/2025
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