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1861616732
CHAD A WIESENAUER
LOUISVILLE, KY
NPI
1861616732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0120X Surgery, Pediatric Surgery
(Licence: IN 01053500A)
Enumeration Date
2007-04-12
Last Update Date
2017-10-09
Business Address
CHAD A WIESENAUER M.D.
234 E GRAY ST
LOUISVILLE, KY 40202-1900
Phone number: 502-588-0390
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Mailing Address
CHAD A WIESENAUER M.D.
234 E GRAY ST
LOUISVILLE, KY 40202-1900
Phone number: 502-588-0390
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