DR. Amy L Wiesch, DPM

NPI #1396733549 in Bourbonnais, Illinois

Provider Information

NPI Number
1396733549
Entity Type
Individual
Name
DR. Amy L Wiesch, DPM
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Podiatrist
Credential
DPM
Enumeration Date
Oct 12, 2005
Last Updated
May 12, 2008

Practice Location

Address
11 BRIARCLIFF PROF CTR
ZIP Code
60914-1775
Phone
(815) 933-7077

Specialties & Taxonomy Codes

Specialty
Podiatrist

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Provider Name
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