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Michael W Wilt, PA
Medical Physician Assistant in Coudersport, Pennsylvania
NPI 1598856114

Michael W Wilt is a Medical Physician Assistant based in Bradford, PA and is specialized in Medical. Michael W Wilt practices in Coudersport, PA and has the professional credentials of PA. The NPI Number for Michael W Wilt is 1598856114 and holds a License No. 011849 (Pennsylvania).

The current practice location address for Michael W Wilt is 1001 E 2Nd St, Coudersport, PA and can be reached out via phone at 814-274-9300.

Location: 1001 E 2Nd St, Coudersport, PA, 16701-1230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598856114
Provider Name
Michael W Wilt
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1001 E 2Nd St, Coudersport, PA, 16701-1230
Phone Number
814-274-9300
Fax Number
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1001 E 2Nd St
City
Coudersport
State
Pennsylvania
Zip
16915-8161
Phone Number
814-274-9300
Fax Number
person
Provider Business Mailing Address Details
Address
1001 E 2Nd St
City
Coudersport
State
Pennsylvania
Zip
16915-8161
Phone Number
814-274-9300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
011849 (New York)
Definition
Definition to come...
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