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Individual
ELIZABETH L WIEST
Active
Individual
ELIZABETH L WIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS016484
PA
207P00000X
Emergency Medicine Physician
OT013520
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102818691
—
PA
05
—
102818691 0001
—
PA
05
—
102818691 0002
—
PA
01
—
1621594
GATEWAY
PA
01
—
2897727
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/23/2010
Last updated
02/12/2020
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