Individual
DIANA LYNN WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8486 COUNTY ROAD FG, DELTA, OH 43515-9474
(419) 265-7851
Mailing address
8486 COUNTY ROAD FG, DELTA, OH 43515-9474
(419) 265-7851
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080320
ODJFS
OH
Enumeration date
10/23/2014
Last updated
10/23/2014
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