Provider Demographics
NPI:1982471405
Name:WESSLER, MADISON RACHEL (PA-C)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:RACHEL
Last Name:WESSLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 BRADISH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1201
Mailing Address - Country:US
Mailing Address - Phone:216-978-5540
Mailing Address - Fax:
Practice Address - Street 1:4815 LIBERTY AVE STE 322
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2156
Practice Address - Country:US
Practice Address - Phone:412-578-4484
Practice Address - Fax:412-578-3536
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-05
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical