Doctor Name: | MARY M WILSCH |
NPI Number: | 1013973734 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 214652 |
Business Practice Address: | 600 E Genesee St Suite 323 Syracuse, NY - 132023130 |
Business Phone Number: | 3154761645 |
Business Fax Number: | |
Mailing Address: | 600 E Genesee St, Suite 323 SYRACUSE |
State: | NY |
Postal Code: | 132023130 |
Phone Number: | 3154761645 |
Fax Number: | 3156851695 |
NPI Enumeration Date: | 04/21/2006 |
NPI Last Update Date: | 12/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 214652 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |