Individual provider · Type 1 NPI

Joel Wietfeldt, MD

Plastic and Reconstructive Surgery Physician · Springfield, IL

NPI number 1497977888 Active

Practice location

2901 Greenbriar Dr
Springfield, IL 62704-6425

Mailing address

1025 S 6th St
Springfield, IL 62703-2403

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122X036129983 (IL)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1497977888

Joel Wietfeldt, MD's National Provider Identifier is 1497977888, issued on May 3, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Springfield, IL. The record was last updated on May 19, 2020.