Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa M Wiedel, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1831166966

Lisa M Wiedel, MD is an Obstetrics & Gynecology Physician in Saint Johns, Florida. Practices as a sole proprietor. Licensed in Florida and Oklahoma.

Licensed in
FL, OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

450 State Road 13 Ste 106-128
Saint Johns, FL 32259-3860
Phone: (904) 616-8410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME110534 (FL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 21690 (OK)

Record details

NPI number1831166966
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 8, 2006
Last updated in NPPESMarch 7, 2013