Individual
JOSHUA WIETHOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
125 DAUGHERTY DR STE 305, MONROEVILLE, PA 15146-2749
(412) 856-4666
Mailing address
125 DAUGHERTY DR STE 305, MONROEVILLE, PA 15146-2749
(412) 856-4666
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA062197
PA
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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