Individual provider · Type 1 NPI
Barbara May Wieties-Malm, MD
Diagnostic Radiology Physician · Blue Island, IL
NPI number
1699753780
Active
Practice location
12935 Gregory St
Blue Island, IL 60406-2428
Mailing address
3300 127th St, 2nd Floor
Blue Island, IL 60406-3802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 036068572 (IL) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1699753780
Barbara May Wieties-Malm, MD's National Provider Identifier is 1699753780, issued on Jan 9, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Blue Island, IL. The record was last updated on Jun 21, 2010.