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Chad A Wiesenauer, MD
Pediatric Surgery Physician in Louisville, Kentucky
NPI 1861616732

Chad A Wiesenauer is a Pediatric Surgery Physician based in Louisville, KY and is specialized in Pediatric Surgery. Chad A Wiesenauer practices in Louisville, KY and has the professional credentials of MD. The NPI Number for Chad A Wiesenauer is 1861616732 and holds a License No. 01053500A (Kentucky).

The current practice location address for Chad A Wiesenauer is 234 E Gray St, Louisville, KY and can be reached out via phone at 502-588-0390 and via fax at 502-584-5437.

Location: 234 E Gray St, Louisville, KY, 40202-1900
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Provider Profile Details
NPI Number
1861616732
Provider Name
Chad A Wiesenauer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
234 E Gray St, Louisville, KY, 40202-1900
Phone Number
502-588-0390
Fax Number
502-584-5437
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01053500A 01 IN STATE LICENSE NUMBER
7100008600 05 KY
institution
Provider Business Practice Location Address Details
Address
234 E Gray St
City
State
Zip
40202-1900
Phone Number
502-588-0390
Fax Number
502-584-5437
person
Provider Business Mailing Address Details
Address
234 E Gray St
City
State
Zip
40202-1900
Phone Number
502-588-0390
Fax Number
502-584-5437
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
01053500A (Indiana)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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