Jennifer Lee Wetteland PA-C

NPI 1396804282 - Physician Assistant - 363A00000X

NPI Details
NPI 1396804282
Gender Female
Enumeration Date 12/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4805 PRIME PKWY
MCHENRY IL, 60050-7002, US
Phone (815) 363-9500
Fax (815) 363-9696
Business Location
4805 PRIME PKWY
MCHENRY IL, 60050-7002, US
Phone (815) 363-9500
Fax (815) 363-9696
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Mrs. Jennifer Lee Wetteland PA-C NPI is 1396804282, taxonomy code is 363A00000X Jennifer Lee Wetteland PA-C physically located at 4805 Prime Pkwy, Mchenry IL, 60050-7002. NPI Number Jennifer Lee Wetteland PA-C has the Individual type.

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1396804282 NPI number is provided on an as is basis without warranty of any kind. 1396804282 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Lee Wetteland PA-C are for informational purposes only.