Individual
DR. JEANNE ELIZABETH WIEBENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 LOWELL AVE, CHAUTAUQUA, NY 14722-0064
(716) 357-9604
Mailing address
22 LOWELL AVE, P. O. BOX 64, CHAUTAUQUA, NY 14722-0064
(716) 357-9604
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
164516
NY
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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