Individual
DR. ERICA KITCHELL WIEDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
851042 US HIGHWAY 17, YULEE, FL 32097-2845
(904) 225-3824
(904) 390-7440
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23432
LA
207Q00000X
Family Medicine Physician
Primary
ME144522
FL
Other
Enumeration date
01/18/2006
Last updated
09/03/2020
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