Mark A Wernham, MS,PA-C Valid NPI

Individual provider · Medical Physician Assistant · Ithaca, NY

NPI

1205849981

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

019675-1 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-14

Last updated

2023-02-08