MRS. Danielle Wisen, PA-C

NPI #1417573106 in Willoughby, Ohio

Provider Information

NPI Number: 1417573106
Entity Type: Individual
Name: MRS. Danielle Wisen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 18, 2020
Last Updated: Jun 18, 2020

Practice Location

Address: 35007 S TURTLE TRL APT B
City: Willoughby
State: Ohio
ZIP Code: 44094-4261
Phone: (440) 622-4587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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