Wendell Koblegard M.D.

NPI 1053460378 - Pediatrics - 208000000X

NPI Details
NPI 1053460378
Gender Female
Enumeration Date 01/09/2007
Last Updated 09/22/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
2100 NEBRASKA AVE STE 113
FORT PIERCE FL, 34950-5968, US
Phone (772) 460-0321
Fax
Business Location
2100 NEBRASKA AVE STE 113
FORT PIERCE FL, 34950-5968, US
Phone (772) 460-0321
Fax
Toxanomy
Taxonomy Code 208000000X
License State Florida
License Number TRN7826
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According to our database, Wendell Koblegard M.D. NPI is 1053460378, taxonomy code is 208000000X and license number is TRN7826, license state is located at Florida. Wendell Koblegard M.D. physically located at 2100 Nebraska Ave Ste 113, Fort Pierce FL, 34950-5968. NPI Number Wendell Koblegard M.D. has the Individual type.

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1053460378 NPI number is provided on an as is basis without warranty of any kind. 1053460378 is maintained by the National Plan & Provider Enumeration System. The contents of Wendell Koblegard M.D. are for informational purposes only.