Provider Demographics
NPI:1871748509
Name:WEXLER, DEBORAH LEE (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:LEE
Last Name:WEXLER
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1573 SELBY AVE
Mailing Address - Street 2:SUITE 234
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-6293
Mailing Address - Country:US
Mailing Address - Phone:651-647-0043
Mailing Address - Fax:651-647-9131
Practice Address - Street 1:1573 SELBY AVE
Practice Address - Street 2:SUITE 234
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-6293
Practice Address - Country:US
Practice Address - Phone:651-647-0043
Practice Address - Fax:651-647-9131
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2008-11-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN30697207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine