MEDICARE: DR. VICTORIA WELLS WULSIN MD, DRPH

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	2083P0901X	Public Health & General Preventive Medicine Physician	35058016	OH
2	2083X0100X	Occupational Medicine Physician	35.058016	OH

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	:	1982932661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA WELLS WULSIN MD, DRPH

Provider Business Mailing Address
First Line	:	2751 O VARSITY WAY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45221-0001
Country	:	US
Telephone Number	:	513-556-2564
Fax Number	:	513-556-1337

Provider Business Practice Location Address
First Line	:	2751 OVARSITY WAY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45221-0001
Country	:	US
Telephone Number	:	513-556-2564
Fax Number	:	513-556-1337

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

Provider Enumeration Date	:	11/18/2009
Last Update Date	:	07/21/2022

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