Individual
ELIZABETH KELLY WESSLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1021 NEBRASKA STREET, SIOUX CITY, IA 51105
(712) 252-2477
(712) 252-5920
Mailing address
1021 NEBRASKA ST, SIOUX CITY, IA 51105-1436
(712) 252-2477
(712) 252-5920
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001879
IA
363AM0700X
Medical Physician Assistant
0744
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001879
STATE PA-C LICENSE
IA
01
—
0744
LICENSE
SD
Enumeration date
01/18/2008
Last updated
06/14/2021
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