Search › Ohio › 163W00000X
Dwayne Wilson
NPI 1891192894 · on the registry since 2014 · sole proprietor
Practice
- Address
- 24455 Lake Shore Blvd
Apt. 1818
Euclid, OH 44123 - Phone
- (216) 502-0246
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio