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Individual

JANICE WILBUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9500 MENTOR AVE, SUITE 220, MENTOR, OH 44060-8713
(440) 357-7100
(440) 357-8136
Mailing address
9500 MENTOR AVE, SUITE 220, MENTOR, OH 44060-8713
(440) 357-7100
(440) 357-8136

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
35069849
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2078031
OH
Enumeration date
04/21/2006
Last updated
08/26/2010
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