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Individual

MRS. JENNIFER LEE WETTELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4805 PRIME PKWY, MCHENRY, IL 60050-7002
(815) 363-9500
(815) 363-9696
Mailing address
4805 PRIME PKWY, MCHENRY, IL 60050-7002
(815) 363-9500
(815) 363-9696

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
IL

Other

Enumeration date
12/06/2006
Last updated
07/08/2007
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