Individual
WAYNE BLACKBURN WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1610 28TH ST, APT 621, PORTSMOUTH, OH 45662-2641
(740) 353-5044
(740) 353-7904
Mailing address
1610 28TH ST, APT 621, PORTSMOUTH, OH 45662-2641
(740) 353-5044
(740) 353-7904
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35047628
OH
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
22486
KY
209800000X
Legal Medicine (M.D./D.O.) Physician
22486
KY
209800000X
Legal Medicine (M.D./D.O.) Physician
35047628
OH
Other
Enumeration date
01/30/2006
Last updated
12/21/2016
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