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Individual

DR. JOHN ALBERT WETHERHOLD SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
235 DIVISION ST, HARRISBURG, PA 17110-1213
(717) 233-8783
(717) 233-2221
Mailing address
235 DIVISION ST, HARRISBURG, PA 17110-1213
(717) 233-8783
(717) 233-2221

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000419
PA

Other

Enumeration date
09/04/2006
Last updated
02/25/2010
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