Individual
ANETA WIEJSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1719 N DYSART RD, AVONDALE, AZ 85392-1213
(623) 232-3322
Mailing address
1719 N DYSART RD, AVONDALE, AZ 85392-1213
(623) 232-3322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42337
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
448567
—
AZ
01
—
81047
TRAINING PERMIT
AZ
Enumeration date
01/10/2008
Last updated
04/10/2020
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