| NPI | 1386980738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS E WIEGERING Physician/Md 305-858-4366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME0066713) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2020-08-19 |