Dr. Mary Ellen Wechter
Gynecologist
836 Prudential Dr Suite 1600
Jacksonville
, Florida 32207-8334
Dr. Mary Ellen Wechter
Gynecologist
836 Prudential Dr Suite 1600
Jacksonville
, Florida 32207-8334
(904) 472-2330
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Mary Ellen Wechter
- Po Box 16568
- Jacksonville, FL
- Zip : 32245-6568
- Fax : (904) 472-2330
- Phone : (904) 472-2300
Second Address
- Dr. Mary Ellen Wechter
- 836 Prudential Dr Suite 1600
- Jacksonville, FL
- Zip : 32207-8334
- Fax : (904) 402-8948
- Phone : (904) 399-4862
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | ME101802 | FL |
National Provider Identifier
| NPI | 1194813493 |
|---|---|
| Provider Name | Dr. Mary Ellen Wechter |
| First Address | Jacksonville, FL 32245-6568 |
| Second Address | Jacksonville, FL 32207-8334 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2006 |
| Last Update Date | 07/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 064350500 | (05) | FL |
| I06778 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.