Individual
MARISSA LINDSEY WEDEL
Active
Individual
MARISSA LINDSEY WEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101244113
VA
207W00000X
Ophthalmology Physician
250672
MA
207W00000X
Ophthalmology Physician
Primary
MD474785
PA
207WX0107X
Retina Specialist (Ophthalmology) Physician
0101244113
VA
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD474785
PA
Other
Enumeration date
07/17/2008
Last updated
09/06/2022
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