Individual provider · Type 1 NPI

Keri Wieczerzak

Surgical Physician Assistant · Hartford, CT

NPI number 1790314565 Active

Practice location

80 Jefferson St
Hartford, CT 06106-5035

Call (860) 972-5022 Map

Mailing address

51 Church St
Mystic, CT 06355-2745

Other practice locations

  • 365 Montauk Ave, New London, CT 06320-4700 · (860) 442-0711

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1790314565

Keri Wieczerzak's National Provider Identifier is 1790314565, issued on Apr 3, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on May 6, 2024.