Most Relevant Information
Provider Data
| NPI Number: | 1003045543 |
| Provider Name: | DIANE E WHEELER MS, PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 60606597 |
Most Important Dates
| Enumeration Date: | 07/06/2009 |
| Last Updated: | 04/27/2016 |
Provider Practice Location
325 9TH AVE
SEATTLE
WA
981042420
Practice Location Phone/Fax
| Phone: | 2067443000 |
| Fax: |
Provider Mailing Location
325 9TH AVE
SEATTLE
WA
981042420
Provider Mailing Phone/Fax
| Phone: | 2067443000 |
| Fax: |