Individual
BRANDON LEE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 824-7345
(419) 824-7359
Mailing address
1 SEAGATE # 800, TOLEDO, OH 43604-1558
(419) 291-4491
(419) 479-6905
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CNP.15541
OH
367500000X
Certified Registered Nurse Anesthetist
RN.370150-COA1
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098693
—
OH
Enumeration date
01/30/2014
Last updated
11/03/2023
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