NATALIE J WIETFELDT

JANESVILLE, WI
NPI1205409034
Former NameNATALIE J DECHECK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  77581)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: WI  89002-851)
Enumeration Date2021-07-20
Last Update Date2023-12-18
Business Address
NATALIE J WIETFELDT MD
849 KELLOGG AVE
JANESVILLE, WI 53546-2808
Phone number: 608-755-7960
Mailing Address
NATALIE J WIETFELDT MD
849 KELLOGG AVE
JANESVILLE, WI 53546-2808
Phone number: 608-755-7960