Staci L Wedel in Cedar Rapids - Pediatrics

Staci L Wedel - NPI 1083623250

Staci L Wedel is a Pediatrics in Cedar Rapids, Iowa. Staci L Wedel practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Staci L Wedel is 1083623250. The last update date is 2011-10-27.

Staci L Wedel's current location address is 855 A Ave Ne, Cedar Rapids, Iowa. You can contact this provider via phone number 3193689300 and fax number 3193685690. The mailing address for Staci L Wedel is 855 A Ave Ne, Cedar Rapids, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Staci L Wedel
Address 855 A Ave Ne, Cedar Rapids, Iowa
Phone Number 3193689300
Fax Number 3193685690
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1083623250
Provider Enumeration Date 2006-08-06
Last Updated Date 2011-10-27

Provider Mailing Address Detail

Address 855 A Ave Ne
City Cedar Rapids
State Iowa (IA)
Post Code 524025057
Phone Number 3193689300
Fax Number 3193685690

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 31367
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1083623250 IA --
102549 KS HPK
244545 KS COVENTRY
104840 KS BCBS
12149415 KS MULTIPLAN
200333240A KS --
14746 KS PHS

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FAQs about Staci L Wedel

What is the unique 10-digit identifier code issued to Staci L Wedel by the Centers for Medicare & Medicaid Services?

The Staci L Wedel has been assigned the NPI (National Provider Identifier) 1083623250 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Staci L Wedel's facilities are geographically located?

The facilities of Staci L Wedel are physically situated at the following location: 855 A Ave Ne, Cedar Rapids, IA, 524025057.

What is Staci L Wedel's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Staci L Wedel is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Staci L Wedel receive its 1083623250 assignment from the Centers for Medicare & Medicaid Services?

The Staci L Wedel was assigned its 1083623250 by the Centers for Medicare & Medicaid Services on 2006-08-06.

As of what date were the details pertaining to Staci L Wedel last refreshed?

The information related to the Staci L Wedel, including its address, specialty, and other relevant details, was last updated on 2011-10-27.

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