Individual
MR. ANTHONY MICHAEL WROBLESKY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
864 MAIN ST, CONNEAUT, OH 44030
(440) 593-6160
Mailing address
864 MAIN ST, CONNEAUT, OH 44030
(440) 593-6160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19966
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100063
—
OH
01
—
1014935730002
MEDICAL ASSISTANCE
PA
01
—
1117
PIN NO
OH
Enumeration date
12/27/2006
Last updated
07/08/2007
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