Individual
MADELEINE WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7131 RIDGE AVE, PHILADELPHIA, PA 19128-3251
(215) 483-2113
Mailing address
7131 RIDGE AVE, PHILADELPHIA, PA 19128-3251
(215) 483-2113
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA063272
OH
Other
Enumeration date
12/03/2021
Last updated
02/23/2022
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