Individual
JEREMY WETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
20528 BOLAND FARM RD, STE 104, GERMANTOWN, MD 20876-4032
(301) 972-0400
(301) 916-1453
Mailing address
20528 BOLAND FARM RD, STE 104, GERMANTOWN, MD 20876-4032
(301) 972-0400
(301) 916-1453
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0003900
MD
Other
Enumeration date
12/04/2007
Last updated
05/05/2016
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