Individual
DR. HELEN WIEDEMER LAIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4804 INNSBRUCK DR, ROCKFORD, IL 61114-7312
(815) 282-9243
Mailing address
4804 INNSBRUCK DR, ROCKFORD, IL 61114-7312
(815) 282-9243
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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