Individual
PHILLIP EUGENE WOLLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 27TH ST NE, CANTON, OH 44714-1714
(330) 575-7424
Mailing address
1401 27TH ST NE, CANTON, OH 44714-1714
(330) 575-7424
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
7611238
OH
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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