MR. Wayne Wilmer
NPI #1649311168 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1649311168
- Entity Type
- Individual
- Name
- MR. Wayne Wilmer
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Adult Companion
- Enumeration Date
- Feb 8, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 23957 211TH ST
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048-7688
- Phone
- (913) 250-1821
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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