Individual
KATIE LYNN WALIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3737 MARKET ST, 7TH FLOOR, PHILADELPHIA, PA 19104-5545
(215) 662-3340
(215) 222-8875
Mailing address
3737 MARKET ST, 7TH FLOOR, PHILADELPHIA, PA 19104-5545
(215) 662-3340
(215) 222-8875
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052018
PA
Other
Enumeration date
07/12/2006
Last updated
10/04/2019
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