Individual provider · Type 1 NPI

Mollyrose M. Wannamaker, PA-C

Surgical Physician Assistant · Cincinnati, OH

NPI number 1841625951 Active

Practice location

234 Goodman St
Cincinnati, OH 45219

Fax (513) 475-7348

Mailing address

289 Olmsted Blvd, Ste 5
Pinehurst, NC 28374-8730

Other practice locations

  • 5206 Research Dr, San Antonio, TX 78240 · (210) 595-5300
  • 5206 Research Dr, San Antonio, TX 78240 · (210) 595-5300
  • 5206 Research Dr, San Antonio, TX 78240 · (210) 595-5300
  • 5206 Research Dr, San Antonio, TX 78240 · (210) 595-5300

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X1968 (SC)
Surgical Physician Assistant Primary 363AS0400X0010-11376 (NC)
Surgical Physician Assistant 363AS0400X50005855RX (OH)

Surgical Physician Assistant: Definition to come...

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About NPI 1841625951

Mollyrose M. Wannamaker, PA-C's National Provider Identifier is 1841625951, issued on Sep 8, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Cincinnati, OH. The record was last updated on Dec 22, 2021.