Provider Demographics
NPI:1043218498
Name:WILHELM, ROBERT P (PA-C)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:P
Last Name:WILHELM
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2701 BLAIR MILL RD
Mailing Address - Street 2:SUITE 20
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1041
Mailing Address - Country:US
Mailing Address - Phone:215-672-7070
Mailing Address - Fax:215-672-6426
Practice Address - Street 1:2701 BLAIR MILL RD
Practice Address - Street 2:SUITE 20
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1041
Practice Address - Country:US
Practice Address - Phone:215-672-7070
Practice Address - Fax:215-672-6426
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA-002139-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine