Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35.040409 | OH |
Y | 207VE0102X | Reproductive Endocrinologist | 35.040409 | OH |
NPI | 1346676061 |
---|---|
Provider Name | Dr. Wulf Hessel Utian |
First Address | Beachwood, OH 44122 |
Second Address | Beachwood, OH 44122 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2013 |
Last Update Date | 26/09/2013 |