Mark Wilson

NPI #1932677630 in Rootstown, Ohio

Provider Information

NPI Number: 1932677630
Entity Type: Individual
Name: Mark Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Nov 12, 2018
Last Updated: Nov 12, 2018

Practice Location

Address: 3975 KENNETH DR
City: Rootstown
State: Ohio
ZIP Code: 44272-9252
Phone: (330) 261-5009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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