LISA WIEDEL, MD

Obstetrics & Gynecology

Active Individual
NPI: 1831166966

Practice Address

450 STATE ROAD 13
STE 106-128
Saint Johns, FL 32259

Phone: (904) 616-8410

Specialties

Specialty Code Primary License
Obstetrics & Gynecology 207V00000X Yes ME110534 (FL)

Frequently Asked Questions

NPI 1831166966 is the National Provider Identifier for LISA WIEDEL, MD, a Obstetrics & Gynecology provider located in Saint Johns, FL. This NPI was enumerated on March 8, 2006.
LISA WIEDEL, MD practices at 450 STATE ROAD 13, STE 106-128, Saint Johns, FL 32259.

Quick Facts

NPI
1831166966
Type
Individual
Enumerated
Mar 8, 2006
Last Updated
Mar 7, 2013

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