Individual
AILEEN WERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-5000
(570) 271-6429
(570) 271-6854
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
FW7702966
PA
207YP0228X
Pediatric Otolaryngology Physician
MT212587
PA
390200000X
Student in an Organized Health Care Education/Training Program
4301101298
MI
Other
Enumeration date
06/19/2012
Last updated
08/27/2020
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