person
Ms. Mollyrose M Wannamaker, PA-C
Surgical Physician Assistant in Cincinnati, Ohio
NPI 1841625951

Mollyrose M Wannamaker is a Surgical Physician Assistant based in Pinehurst, OH and is specialized in Surgical. Mollyrose M Wannamaker practices in Cincinnati, OH and has the professional credentials of PA-C. The NPI Number for Mollyrose M Wannamaker is 1841625951 and holds a License No. 1968 (Ohio).

The current practice location address for Mollyrose M Wannamaker is 234 Goodman St, Cincinnati, OH and can be reached out via phone at 513-475-8787 and via fax at 513-475-7348. You can also correspond with Mollyrose M Wannamaker through the mailing address at 289 OLMSTED BLVD, PINEHURST, NC - 28374-8730 (mailing address contact number: 910-420-1282).

Location: 234 Goodman St, Cincinnati, OH, 28374-8730
person
Provider Profile Details
NPI Number
1841625951
Provider Name
Mollyrose M Wannamaker
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
234 Goodman St, Cincinnati, OH, 28374-8730
Phone Number
513-475-8787
Fax Number
513-475-7348
Provider Enumeration Date
09/08/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1986 01 SC SC LICENSE
379336601 05 TX
institution
Provider Business Practice Location Address Details
Address
234 Goodman St
City
State
Zip
45219
Phone Number
513-475-8787
Fax Number
513-475-7348
person
Provider Business Mailing Address Details
Address
234 Goodman St
City
State
Zip
45219
Phone Number
513-475-8787
Fax Number
513-475-7348
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1968 (South Carolina)
Definition
Definition to come...
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