Lisa M Wiedel, MD
NPI #1831166966 in Saint Johns, Florida
Provider Information
- NPI Number
- 1831166966
- Entity Type
- Individual
- Name
- Lisa M Wiedel, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Obstetrics & Gynecology
- Credential
- MD
- Enumeration Date
- Mar 8, 2006
- Last Updated
- Mar 7, 2013
Practice Location
- Address
- 450 STATE ROAD 13
- Address 2
- STE 106-128
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259-3860
- Phone
- (904) 616-8410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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