DoctorLicensePro

Dr. Lisa M Wiedel, MD

Obstetrics & Gynecology

NPI: 1831166966 Florida
76/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice15/15

20 years

Data Freshness6/10

Updated 4864 days ago

License Status

FloridaActive
License #

110534

Issued

Jul 11, 2011

Expires

Jan 31, 2027

Practice Information

Address
450 STATE ROAD 13, STE 106-128
SAINT JOHNS, FL 32259
Phone
(904) 616-8410
In Practice Since
March 8, 2006
Data Last Updated
March 7, 2013

NPI Details

NPI Number
1831166966
Status
Active
Taxonomy Code
207V00000X
Data sourced from CMS NPPES public database. Last verified: March 7, 2013. Report an error