Provider Demographics
NPI:1003171968
Name:WEHNER, BRIANNE LEIGH (DO)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:LEIGH
Last Name:WEHNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BRIANNE
Other - Middle Name:LEIGH
Other - Last Name:IADANZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:600 FORBES AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15282-3016
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 FORBES AVE 3RD FLOOR GUMBERG
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15282-3016
Practice Address - Country:US
Practice Address - Phone:412-396-1650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-06
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012020336207Q00000X
PAOS022775207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine