Individual
DR. EDWARD WIESELTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
542 BROADWAY STE G, CHULA VISTA, CA 91910-5304
(619) 425-8212
(619) 425-8337
Mailing address
542 BROADWAY STE G, CHULA VISTA, CA 91910-5304
(619) 425-8212
(619) 425-8337
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A15647
CA
390200000X
Student in an Organized Health Care Education/Training Program
UO3586
FL
Other
Enumeration date
12/16/2013
Last updated
04/05/2024
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