Doctor Name: | MR. PETER VINCENT WETTERLIN |
NPI Number: | 1790882173 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.D. |
License Number: | DN002813 |
Business Practice Address: | 1400 Blackhorse Hill Rd Coatesville, PA - 193202040 |
Business Phone Number: | 6103830244 |
Business Fax Number: | 6103804367 |
Mailing Address: | 6 Bridle Path, EPHRATA |
State: | PA |
Postal Code: | 175228815 |
Phone Number: | 7177381840 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DN002813 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |