Individual provider · Type 1 NPI

Desta A. Wako

Medical Physician Assistant · Pickerington, OH

NPI number 1033984844 Active

Practice location

3324 Wigham Ct
Pickerington, OH 43147-9523

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X883534155 (OH)

Medical Physician Assistant: Definition to come...

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About NPI 1033984844

Desta A. Wako's National Provider Identifier is 1033984844, issued on Nov 21, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pickerington, OH. The record was last updated on Nov 21, 2023.