Jaclyn Beth Wierzbicki M.D.

NPI 1609187590 - Surgery - 208600000X

NPI Details
NPI 1609187590
Gender Female
Enumeration Date 06/25/2010
Last Updated 01/12/2016
Entity Type Individual
Active Over 6 years ago
Practice Location
701 N 1ST ST STE D308
SPRINGFIELD IL, 62702-3757, US
Phone (217) 545-4401
Fax (217) 545-2586
Business Location
PO BOX 19638
SPRINGFIELD IL, 62794-9638, US
Phone (217) 545-4401
Fax (217) 545-5878
Taxonomy Code 208600000X
License State Illinois
License Number 125.057952
Remove 1609187590 NPI Number

According to our database, Dr. Jaclyn Beth Wierzbicki M.D. NPI is 1609187590, taxonomy code is 208600000X and license number is 125.057952, license state is located at Illinois. Jaclyn Beth Wierzbicki M.D. physically located at 701 N 1st St Ste D308, Springfield IL, 62702-3757. NPI Number Jaclyn Beth Wierzbicki M.D. has the Individual type.

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1609187590 NPI number is provided on an as is basis without warranty of any kind. 1609187590 is maintained by the National Plan & Provider Enumeration System. The contents of Jaclyn Beth Wierzbicki M.D. are for informational purposes only.