National Provider Identifier
Jeanne Elizabeth Wiebenga, M.D.
Jeanne Elizabeth Wiebenga, M.D. is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Chautauqua, NY and a listed phone number of (716) 357-9604.
Profile Overview
- NPI
- 1629174800
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Physician
- Enumeration Date
- September 15, 2006
- Last Updated
- July 08, 2007
Practice Location
- 22 Lowell Ave
- Chautauqua, NY 14722-0064
Phone: (716) 357-9604
Mailing Address
- 22 Lowell Ave
- P. O. Box 64
- Chautauqua, NY 14722-0064
Specialties
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1629174800
- Entity Type
- Individual
- Last Name
- Wiebenga
- First Name
- Jeanne
- Middle Name
- Elizabeth
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 22 Lowell Ave
- Mailing Address Line 2
- P. O. Box 64
- Mailing City
- Chautauqua
- Mailing State
- NY
- Mailing ZIP Code
- 14722-0064
- Mailing Country
- US
- Mailing Phone
- (716) 357-9604
- Practice Street Address
- 22 Lowell Ave
- Practice City
- Chautauqua
- Practice State
- NY
- Practice ZIP Code
- 14722-0064
- Practice Country
- US
- Practice Phone
- (716) 357-9604
- Enumeration Date
- September 15, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Obstetrics & Gynecology Physician (207V00000X)