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)Code
207ZB0001X
207RH0000X
Primary Taxonomy
No
No
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