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Individual

LARISSA ANN WERTALIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1141 N ROAD ST STE M, SENTARA PEDIATRIC PHYSICIANS, ELIZABETH CITY, NC 27909
(252) 384-2590
(252) 384-2589
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-5037

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
305439
NY
208000000X
Pediatrics Physician
Primary
34.015369
OH

Other

Enumeration date
03/28/2017
Last updated
08/20/2024
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