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Individual

ANNE E WILMOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
280 CLINTON CT, MEADVILLE, PA 16335-3362
(814) 333-8277
(814) 333-6203
Mailing address
280 CLINTON CT, MEADVILLE, PA 16335-3362
(814) 333-8277
(814) 333-6203

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056342
PA
363AM0700X
Medical Physician Assistant
MA056342
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01510431
MEDICARE RAILROAD
PA
Enumeration date
10/14/2013
Last updated
08/17/2016
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