Individual
ELIZABETH L WIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 267-7146
(717) 267-7728
Mailing address
785 5TH AVE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4218
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS016484
PA
207P00000X
Emergency Medicine Physician
OT013520
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102818691
—
PA
05
—
102818691 0001
—
PA
05
—
102818691 0002
—
PA
01
—
1621594
GATEWAY
PA
01
—
2897727
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/23/2010
Last updated
02/12/2020
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