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Individual

EMILY WIELERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 WILFORD LOOP, BLDG 4554, WILFORD HALL AMBULATORY SURGICAL CENTER, JBSA LACKLAND, TX 78236
(210) 292-5339
Mailing address
1100 WILFORD LOOP, BLDG 4554, WILFORD HALL AMBULATORY SURGICAL CENTER, JBSA LACKLAND, TX 78236
(210) 292-5339

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
1152A
AL
231H00000X
Audiologist
Primary
AUD004157
GA

Other

Enumeration date
05/11/2015
Last updated
06/26/2025
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