Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARC E WIETSCHNER, M.D.
Active Sole ProprietorDR. MARC E WIETSCHNER, M.D. is a Sports Medicine (Emergency) healthcare provider located in FLORAL PARK, New York. NPI 1477555829 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · FLORAL PARK, NY
Registration Details
- NPI Number
- 1477555829
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2005 (21.043782672134 yrs)
- Last Updated
- Jan 29, 2018
- Licenses
-
186943 (NY)186943 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
342 JERICHO TPKEFLORAL PARK, NY, 110012108Browse NY providers · Browse ZIP 11001
- Phone
- 5163542020
- Fax
- 5163540400
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.