SearchPennsylvania207QG0300X

J Wieczorek, MD

NPI 1356393672 · on the registry since 2006 · sole proprietor

Practice

Address
456 Locust Street
Sidman, PA 15955
Phone
(814) 487-5721
Fax
(814) 487-4781

Registry record

Primary taxonomy
207QG0300X
207QG0300X
Also registered as
207Q00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania