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Individual

MRS. ELIZABETH WILHELM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
9250 BLUE ASH RD, CINCINNATI, OH 45242-6822
(512) 792-7445
(513) 791-4042
Mailing address
237 WILLIAM HOWARD TAFT, PHYS DIV, 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 45219-2906
(513) 792-7445
(513) 791-4042

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003019
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0077339
MEDICAID
OH
01
09041931
AETNA
OH
01
1629639
GATEWAY
OH
01
765173
WELLCARE
OH
01
796640
ANTHEM
OH
01
H165520
MEDICARE
OH
01
P01180682
RAILROAD MEDICARE
OH
01
P10000897252
BUCKEYE
OH
Enumeration date
12/15/2009
Last updated
09/22/2017
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