Individual
MRS. MARLENE MARGARET WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20826 ROUTE 19, CRANBERRY TOWNSHIP, PA 16066-6019
(724) 776-4776
(724) 776-0251
Mailing address
20826 ROUTE 19, CRANBERRY TWP, PA 16066-6019
(724) 776-4776
(724) 776-0251
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051484
PA
Other
Enumeration date
09/21/2006
Last updated
10/08/2020
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