Organization
PEDIATRIC DERMATOLOGY ASSOCIATES OF ERIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDY LYNN RIPPLE M.D. (PHYSICIAN)
(814) 456-7548
Entity
Organization
Contact information
Practice address
3405 STATE ST, ERIE, PA 16508-2831
(814) 456-7548
(814) 456-5037
Mailing address
3405 STATE ST, ERIE, PA 16508-2831
(814) 456-7548
(814) 456-5037
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
MD056388L
PA
Other
Enumeration date
08/08/2015
Last updated
08/08/2015
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