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1497977888
JOEL WIETFELDT
SPRINGFIELD, IL
NPI
1497977888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: IL 036129983)
Enumeration Date
2007-05-03
Last Update Date
2020-05-19
Business Address
JOEL WIETFELDT MD
2901 GREENBRIAR DR
SPRINGFIELD, IL 62704-6425
Phone number: 217-528-7541
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Mailing Address
JOEL WIETFELDT MD
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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