Individual provider · Type 1 NPI

Rebecca Wiesner, DPM

Foot & Ankle Surgery Podiatrist · Enfield, CT

NPI number 1104183391 Active

Practice location

1379 Enfield St
Enfield, CT 06082-5524

Fax (860) 741-5644

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103X2228 (TX)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Foot & Ankle Surgery Podiatrist Primary 213ES0103X926 (CT)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1104183391

Rebecca Wiesner, DPM's National Provider Identifier is 1104183391, issued on Apr 12, 2012. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Enfield, CT. The record was last updated on Jun 23, 2021.