MEDICARE: DRS WISELEY & HUNTER INC

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	207K00000X	Allergy & Immunology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710909783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS WISELEY & HUNTER INC

Provider Business Mailing Address
First Line	:	3425 EXECUTIVE PKWY STE 107
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-1333
Country	:	US
Telephone Number	:	419-535-7798
Fax Number	:	419-535-6624

Provider Business Practice Location Address
First Line	:	3425 EXECUTIVE PKWY
Second Line	:	SUITE107
City	:	TOLEDO
State	:	OH
Zip	:	43606-1326
Country	:	US
Telephone Number	:	419-535-7798
Fax Number	:	419-535-6654

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID W HUNTER
Credential	:	MD
Telephone Number	:	419-535-7798

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	02/19/2008

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Directions to “DRS WISELEY & HUNTER INC ” Practice Location

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