Individual
PETER M WITHERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3411 SILVERSIDE ROAD, SUITE 103 RODNEY BUILDING, WILMINGTON, DE 19810
(302) 478-7001
(302) 478-7002
Mailing address
PO BOX 3012, WILMINGTON, DE 19804
(302) 224-5678
(302) 224-2848
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
C1-0004878
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000752101
—
DE
Enumeration date
07/12/2006
Last updated
07/08/2007
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