Mary Wonderly MD LLC

NPI #1912167750 in Fremont, Ohio

Provider Information

NPI Number: 1912167750
Entity Type: Organization
Organization Name: Mary Wonderly MD LLC
Primary Specialty: Family Medicine
Enumeration Date: Jun 16, 2008
Last Updated: Nov 26, 2008

Practice Location

Address: 2575 HAYES AVE STE 5
City: Fremont
State: Ohio
ZIP Code: 43420-5201
Phone: (419) 332-3560

Authorized Official

Name: DENISE KERLIN
Title: OFFICE MANAGER
Phone: (419) 332-3560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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