Wiedenfeld, Wyatt Isaac

Wiedenfeld, Wyatt Isaac is an individual health care provider with primary practice located at 853 S Main St , Oconto Falls WI 54154-1203. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Wiedenfeld, Wyatt Isaac can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
853 S Main St Oconto Falls WI 54154-1203
Phone: (920) 496-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901002524 Michigan

Profile Details

NPI number 1912310152
LBN Legal business name Wiedenfeld, Wyatt Isaac
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2014
Last updated Apr 23rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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