IndividualActive
Chad Wiesenauer, M.D.
NPI 1861616732 · Pediatric Surgery Physician · Louisville, KY
Provider details
- NPI number
- 1861616732
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01053500A (IN)
Practice location
234 E Gray St
Louisville, KY 40202-1900
Phone: (502) 588-0390
Fax: (502) 584-5437
Mailing address
234 E Gray St
Louisville, KY 40202-1900
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2017-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.