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Individual

DR. MARK A WANGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
730 W MARKET ST, LIMA, OH 45801
(419) 227-3361
Mailing address
PO BOX 710776, COLUMBUS, OH 43271-0776
(419) 228-1506
(419) 228-3352

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35048180W
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35048180
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000318061
ANTHEM
OH
05
0591864
OH
01
P00085564
RAILROAD MEDICARE
OH
Enumeration date
06/17/2006
Last updated
09/11/2025
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