Organization
PEDIATRIC DERMATOLOGY ASSOCIATES OF ERIE LLC
Active
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
Update your record
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