MRS. Jessica M Wachtel, PA

NPI #1306829775 in Waterloo, Illinois

Provider Information

NPI Number: 1306829775
Entity Type: Individual
Name: MRS. Jessica M Wachtel, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 21, 2005
Last Updated: May 9, 2017

Practice Location

Address: 509 HAMACHER STREET
Address 2: SUITE 102
City: Waterloo
State: Illinois
ZIP Code: 62298
Phone: (618) 939-3939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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