| NPI | 1275725913 |
|---|---|
| Other Name | JESSICA ANN WEDDLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MI 5101016320) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2020-04-13 |