Individual
MICHAEL A WASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
333 BORTHWICK AVE, SUITE 402, PORTSMOUTH, NH 03801-7128
(603) 559-4111
(603) 559-4110
Mailing address
333 BORTHWICK AVE, SUITE 402, PORTSMOUTH, NH 03801-7128
(603) 559-4111
(603) 559-4110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0164P
NH
363A00000X
Physician Assistant
PA-879
ME
363A00000X
Physician Assistant
PA2084
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074353
—
NH
Enumeration date
05/31/2006
Last updated
02/27/2017
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