Female

Mary E. Wissel M.D.

Full Name

Mary Ellen Wissel M.D.

NPI Number

1164491163

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/14/2006

Specialties

(Taxonomies)

Licenses

State

Ohio

License Number

35.047498

Contact
Information

Purpose

Mailing
Location

Address

995 E BROAD ST
995 E BROAD ST

City

Columbus
Columbus

State

OH
OH

Postal Code

43205-1322
43205-1322

Country

US
US

Telephone Number

(614) 253-2740
(614) 253-2740

Identifiers

Identifier

0149011

Identifier State

OH

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address