Individual
SUSAN WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 LIVINGSTON AVE BLDG B, LORAIN, OH 44052-3781
(440) 233-1068
Mailing address
13909 GARFIELD RD, WAKEMAN, OH 44889-9514
(440) 965-4428
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.001320
OH
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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