Individual
ALEXANDRA BETH WIEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
193 S UNION RD, WILLIAMSVILLE, NY 14221-6531
(609) 585-1122
(609) 585-0309
Mailing address
PO BOX 7411009, CHICAGO, IL 60674-3009
(609) 585-1122
(609) 585-0309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026587
NY
Other
Enumeration date
04/22/2021
Last updated
04/14/2026
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