Individual
TAMMY WIELGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
833 CHESTNUT ST STE 1250, PHILADELPHIA, PA 19107-4413
(800) 245-4363
Mailing address
21021 NE 21ST CT, NORTH MIAMI BEACH, FL 33179-1619
(305) 466-3384
(786) 223-3519
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
96141
FL
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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