Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 20209261 | OH |
NPI | 1114514395 |
---|---|
Provider Name | Melissa Anne Wholehan |
First Address | Toledo, OH 43608-2673 |
Second Address | Toledo, OH 43608-2673 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2020 |
Last Update Date | 22/12/2020 |