Individual provider · Type 1 NPI

Lisa Marie Wetherhold, PA-C

Surgical Physician Assistant · Philadelphia, PA

NPI number 1588698013 Active

Practice location

333 Cottman Ave
Philadelphia, PA 19111-2434

Call (215) 728-6900 Map

Fax (215) 728-5507

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XMA052648 (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1588698013

Lisa Marie Wetherhold, PA-C's National Provider Identifier is 1588698013, issued on Jul 10, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 26, 2019.