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Individual

DR. DANIEL L WIERNIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
25 W CRYSTAL LAKE ST, SUITE 200, ORLANDO, FL 32806-4475
(407) 254-2500
(407) 254-2557
Mailing address
25 W CRYSTAL LAKE ST, SUITE 200, ORLANDO, FL 32806-4475
(407) 254-2500
(407) 254-2557

Taxonomy

Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
PO2845
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340090500
FL
Enumeration date
01/30/2006
Last updated
03/10/2010
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