Individual
MR. MARK LAWRENCE HERTWECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7180 HIGHLAND DR, PITTSBURGH, PA 15206-1206
(412) 365-5201
(412) 365-5225
Mailing address
110 HIAWATHA DR, GLENSHAW, PA 15116-3052
(412) 486-3337
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA 000329L
PA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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