Individual
DR. MICHELLE LYNN WERTELET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1005 BEAVER GRADE RD STE G10, MOON TOWNSHIP, PA 15108-2964
(412) 308-9111
(412) 308-9112
Mailing address
1005 BEAVER GRADE RD STE G10, MOON TOWNSHIP, PA 15108-2964
(412) 308-9111
(412) 308-9112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001764
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020734660001
—
PA
Enumeration date
07/26/2006
Last updated
06/13/2022
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