BARRY J WANNINGER

FAIRFIELD, OH
NPI1407109499
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OH  50.003612)
Enumeration Date2012-10-16
Last Update Date2012-10-31
Business Address
-- BARRY J WANNINGER PA-C
3000 MACK RD
FAIRFIELD, OH 45014-5335
Phone number: 516-870-7001
Mailing Address
-- BARRY J WANNINGER PA-C
4750 HEMPSTEAD STATION DR
KETTERING, OH 45429-5164
Phone number: 800-875-0136
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