Individual provider · Type 1 NPI

Ian Wetherall, PA-C

Surgical Physician Assistant · Clearwater, FL

NPI number 1164730289 Active

Practice location

455 Pinellas St, Suite 320
Clearwater, FL 33756-3354

Call (727) 446-2273 Map

Fax (727) 441-4966

Mailing address

455 Pinellas St Ste 320
Clearwater, FL 33756-3369

Other practice locations

  • 10580 N Meridian St, Carmel, IN 46290-1028 · (317) 583-5000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA9108763 (FL)
Surgical Physician Assistant Primary 363AS0400X10004676A (IN)

Surgical Physician Assistant: Definition to come...

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About NPI 1164730289

Ian Wetherall, PA-C's National Provider Identifier is 1164730289, issued on Sep 23, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Clearwater, FL. The record was last updated on Jan 14, 2025.