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Individual

JONATHAN R WISPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4559
(614) 722-4541
Mailing address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4559
(614) 722-4541

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35052332
OH

Other

Enumeration date
11/21/2006
Last updated
12/02/2008
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