person
Desta A Wako
Medical Physician Assistant in Pickerington, Ohio
NPI 1033984844

Desta A Wako is a Medical Physician Assistant based in Pickerington, OH and is specialized in Medical. Desta A Wako practices in Pickerington, OH. The NPI Number for Desta A Wako is 1033984844 and holds a License No. 883534155 (Ohio).

The current practice location address for Desta A Wako is 3324 Wigham Ct, Pickerington, OH and can be reached out via phone at 614-316-9582.

Location: 3324 Wigham Ct, Pickerington, OH, 43147-9523
person
Provider Profile Details
NPI Number
1033984844
Provider Name
Desta A Wako
Credential
Provider Entity Type
Individual
Gender
Male
Address
3324 Wigham Ct, Pickerington, OH, 43147-9523
Phone Number
614-316-9582
Fax Number
Provider Enumeration Date
11/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3324 Wigham Ct
City
State
Zip
43147-9523
Phone Number
614-316-9582
Fax Number
person
Provider Business Mailing Address Details
Address
3324 Wigham Ct
City
State
Zip
43147-9523
Phone Number
614-316-9582
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
883534155 (Ohio)
Definition
Definition to come...
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