Individual
JASON M WYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8887
(717) 531-0321
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055997
PA
Other
Enumeration date
02/05/2013
Last updated
01/08/2015
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