Beverly A Wisdom, PA

NPI #1942208939 in Cleveland, Ohio

Provider Information

NPI Number
1942208939
Entity Type
Individual
Name
Beverly A Wisdom, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Jul 13, 2005
Last Updated
Jun 29, 2020

Practice Location

Address
10701 EAST BLVD
Address 2
SUITE 1B 236
State
Ohio
ZIP Code
44106-1702
Phone
(419) 215-3171

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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