Individual provider · Type 1 NPI
Lisa M. Wiedel, MD
Obstetrics & Gynecology Physician · St. Johns, FL
NPI number
1831166966
Active
Practice location
450 State Road 13, Ste 106-128
St. Johns, FL 32259-3860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 21690 (OK) |
| Obstetrics & Gynecology Physician Primary | 207V00000X | ME110534 (FL) |
Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6 other providers at this address
- Akel Management LLCOptometrist St. Johns, FL NPI 1073818241
- Myeyedr. Optometry of Florida, LLCOptometrist St. Johns, FL NPI 1992175558
- Publix Super Markets IncCommunity/Retail Pharmacy Jacksonville, FL NPI 1972543809
- Harry David Weinstein, ODOptometrist St. Johns, FL NPI 1568540870
- James P. Ross, RPHPharmacist St. Johns, FL NPI 1801133749
- Mary Elizabeth Pollick, RPHPharmacist St. Johns, FL NPI 1366789299
About NPI 1831166966
Lisa M. Wiedel, MD's National Provider Identifier is 1831166966, issued on Mar 8, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in St. Johns, FL. The record was last updated on Mar 7, 2013.