MEDICARE: THOMAS A. WOHL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	35132358	OH

General Provider Information

NPI Number	:	1538361159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS A. WOHL MD

Provider Business Mailing Address
First Line	:	5890 MAYFAIR RD
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-1547
Country	:	US
Telephone Number	:	330-305-2200
Fax Number	:	615-591-1685

Provider Business Practice Location Address
First Line	:	5890 MAYFAIR RD
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-1547
Country	:	US
Telephone Number	:	330-305-2200
Fax Number	:	330-305-2210

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	07/21/2022

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