JOEL WIETFELDT

SPRINGFIELD, IL
NPI1497977888
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: IL  036129983)
Enumeration Date2007-05-03
Last Update Date2020-05-19
Business Address
JOEL WIETFELDT MD
2901 GREENBRIAR DR
SPRINGFIELD, IL 62704-6425
Phone number: 217-528-7541
Mailing Address
JOEL WIETFELDT MD
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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