person
Mrs. Lisa Marie Wetherhold, PA-C
Surgical Physician Assistant in Philadelphia, Pennsylvania
NPI 1588698013

Lisa Marie Wetherhold is a Surgical Physician Assistant based in Philadelphia, PA and is specialized in Surgical. Lisa Marie Wetherhold practices in Philadelphia, PA and has the professional credentials of PA-C. The NPI Number for Lisa Marie Wetherhold is 1588698013 and holds a License No. MA052648 (Pennsylvania).

The current practice location address for Lisa Marie Wetherhold is 333 Cottman Ave, Philadelphia, PA and can be reached out via phone at 215-728-6900 and via fax at 215-728-5507. You can also correspond with Lisa Marie Wetherhold through the mailing address at 2450 W HUNTING PARK AVE, PHILADELPHIA, PA - 19129-1302 (mailing address contact number: 215-728-6900).

Location: 333 Cottman Ave, Philadelphia, PA, 19129-1302
person
Provider Profile Details
NPI Number
1588698013
Provider Name
Lisa Marie Wetherhold
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
333 Cottman Ave, Philadelphia, PA, 19129-1302
Phone Number
215-728-6900
Fax Number
215-728-5507
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
333 Cottman Ave
City
State
Zip
19111-2434
Phone Number
215-728-6900
Fax Number
215-728-5507
person
Provider Business Mailing Address Details
Address
333 Cottman Ave
City
State
Zip
19111-2434
Phone Number
215-728-6900
Fax Number
215-728-5507
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
MA052648 (Pennsylvania)
Definition
Definition to come...
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