Individual
ALISON MARIE WIETHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2711
(939) 208-8000
Mailing address
714 RESIDENZ PKWY APT C, DAYTON, OH 45429-6215
(513) 846-4171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007453RX
OH
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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