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Katie Nicole Wolfgang, PA-C
Medical Physician Assistant in Scranton, Pennsylvania
NPI 1114709417

Katie Nicole Wolfgang is a Medical Physician Assistant based in Allentown, PA and is specialized in Medical. Katie Nicole Wolfgang practices in Scranton, PA and has the professional credentials of PA-C. The NPI Number for Katie Nicole Wolfgang is 1114709417 and holds a License No. MA064846 (Pennsylvania).

The current practice location address for Katie Nicole Wolfgang is 300 Lackawanna Ave Ste 200, Scranton, PA and can be reached out via phone at 570-342-7864.

Location: 300 Lackawanna Ave Ste 200, Scranton, PA, 18103-5622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114709417
Provider Name
Katie Nicole Wolfgang
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
300 Lackawanna Ave Ste 200, Scranton, PA, 18103-5622
Phone Number
570-342-7864
Fax Number
Provider Enumeration Date
10/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Lackawanna Ave Ste 200
City
Scranton
State
Pennsylvania
Zip
18503-2001
Phone Number
570-342-7864
Fax Number
person
Provider Business Mailing Address Details
Address
300 Lackawanna Ave Ste 200
City
Scranton
State
Pennsylvania
Zip
18503-2001
Phone Number
570-342-7864
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA064846 (Pennsylvania)
Definition
Definition to come...
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