Individual provider · Type 1 NPI
Beverly A. Wisdom, PA
Medical Physician Assistant · Cleveland, OH
NPI number
1942208939
Active
Practice location
10701 East Blvd, Suite 1B 236
Cleveland, OH 44106-1702
Fax (216) 231-3411
Mailing address
10701 Wade Park, Suite 1-B 236
Cleveland, OH 44106-1702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 50001450 (OH) |
Medical Physician Assistant: Definition to come...
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About NPI 1942208939
Beverly A. Wisdom, PA's National Provider Identifier is 1942208939, issued on Jul 13, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cleveland, OH. The record was last updated on Jun 29, 2020.