Individual
KEVIN E WISLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 E BROAD ST, SUITE 302, ELYRIA, OH 44035-6400
(440) 329-7330
(440) 329-7335
Mailing address
125 E BROAD ST, SUITE 302, ELYRIA, OH 44035-6400
(440) 329-7330
(440) 329-7335
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
35050491
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0632186
—
OH
Enumeration date
12/27/2005
Last updated
07/08/2007
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