ELLEN S WISE

TROY, OH
NPI1588601546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OH  50001511)
Enumeration Date2006-05-31
Last Update Date2010-06-09
Business Address
-- ELLEN S WISE PAC
3130 N DIXIE HWY
TROY, OH 45373-1337
Phone number: 937-440-4600
Mailing Address
-- ELLEN S WISE PAC
4750 HEMPSTEAD STATION DR
KETTERING, OH 45429-5164
Phone number: 800-875-0136
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