National Provider Identifier

Stephen F Wieczorek, DPM

Stephen F Wieczorek, DPM is listed in the NPPES registry with a primary specialty of Podiatrist in Brockport, NY and a listed phone number of (585) 637-2113.

NPI 1477514693Brockport, NYPodiatrist

Profile Overview

NPI
1477514693
Provider Type
Individual
Primary Specialty
Podiatrist
Enumeration Date
March 29, 2006
Last Updated
July 08, 2007

Practice Location

  • 156 West Ave
  • Suite 106
  • Brockport, NY 14420-1229

Phone: (585) 637-2113

Specialties

  • Podiatrist (213E00000X)
Full Record
NPI
1477514693
Entity Type
Individual
Last Name
Wieczorek
First Name
Stephen
Middle Name
F
Credential
DPM
Mailing Street Address
156 West Ave
Mailing Address Line 2
Suite 106
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1229
Mailing Country
US
Mailing Phone
(585) 637-2113
Practice Street Address
156 West Ave
Practice Address Line 2
Suite 106
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1229
Practice Country
US
Practice Phone
(585) 637-2113
Enumeration Date
March 29, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Podiatrist (213E00000X)