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Organization
ROBERT J. WIELENGA, MD, A PROFESSIONAL CORPORATION
Active
Organization
ROBERT J. WIELENGA, MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JAMES WIELENGA M.D. (CEO)
(562) 923-9100
Entity
Organization
Contact information
Practice address
10835 NEW ST, DOWNEY, CA 90241-3714
(562) 923-9100
(562) 923-9103
Mailing address
10835 NEW ST, DOWNEY, CA 90241-3714
(562) 923-9100
(562) 923-9103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G81044
CA
Other
Enumeration date
01/18/2007
Last updated
02/26/2020
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