Rebecca Wiesner, DPM Valid NPI
Individual provider · Foot & Ankle Surgery Podiatrist · Enfield, CT
- NPI
- 1104183391
- Type
- Individual (Type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist (Podiatrist)
- Specialty group
- Podiatric Medicine & Surgery Service Providers
- Taxonomy code
- 213ES0103X
- License number
- 926 (CT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2012-04-12
- Last updated
- 2021-06-23
Practice location
1379 Enfield St
Enfield, CT 06082-5524
(860) 741-3041