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

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X036068572 (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.