National Provider Identifier
Rachael Wiedel, PA
Rachael Wiedel, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4000.
Profile Overview
- NPI
- 1841546827
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 27, 2012
- Last Updated
- November 05, 2018
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-4000
Mailing Address
- 783 Post Ave
- Rochester, NY 14619-2309
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1841546827
- Entity Type
- Individual
- Last Name
- Wiedel
- First Name
- Rachael
- Credential
- PA
- Provider Other Last Name
- Hogancamp
- Provider Other First Name
- Rachael
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 783 Post Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-2309
- Mailing Country
- US
- Mailing Phone
- (585) 469-8697
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4000
- Enumeration Date
- July 27, 2012
- Last Updated
- November 05, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)