Individual
ETHAN J WERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 OLD FORGE LN # 302, KENNETT SQUARE, PA 19348-1897
(484) 778-8000
Mailing address
300 OLD FORGE LN # 302, KENNETT SQUARE, PA 19348-1897
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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