Most Relevant Information
Provider Data
| NPI Number: | 1003390501 |
| Provider Name: | DANIELLE WASOSKY |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/20/2018 |
| Last Updated: | 12/08/2023 |
Provider Practice Location
7337 CARITAS CIR NW
MASSILLON
OH
446469126
Practice Location Phone/Fax
| Phone: | 3308306110 |
| Fax: |
Provider Mailing Location
1446 BROOKRIDGE AVE
LOUISVILLE
OH
446418724
Provider Mailing Phone/Fax
| Phone: | 3302842234 |
| Fax: |