Dr WYATT ISAAC WIEDENFELD is a male medical professional, specializing in Podiatry. He graduated in 2014.
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
853 S MAIN ST
OCONTO FALLS
WI
541541241
Tel: 9204964700
| Npi | 1912310152 |
| Pac Id | 1557651601 |
| Professional Enrollment Id | I20180731001170 |
| Last Name | WIEDENFELD |
| First Name | WYATT |
| Middle Name | ISAAC |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | PODIATRY |
| Secondary Specialty 1 | |
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| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
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| Organization Legal Name | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Group Practice Pac Id | 5799694675 |
| Number Of Group Practice Members | 497 |
| Line 1 Street Address | 853 S MAIN ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | OCONTO FALLS |
| State | WI |
| Zip Code | 541541241 |
| Phone Number | 9204964700 |
| Hospital Affiliation Ccn 1 | 520075 |
| Hospital Affiliation Lbn 1 | ST VINCENT HOSPITAL |
| Hospital Affiliation Ccn 2 | 521310 |
| Hospital Affiliation Lbn 2 | HSHS ST CLARE MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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