Individual
AIMEE WYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
720 BLACKBURN RD, SEWICKLEY, PA 15143-1459
(412) 741-6600
Mailing address
10 WALDEN WAY, IMPERIAL, PA 15126-9619
(412) 403-3321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058439
PA
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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