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Individual
BENJAMIN RUSSELL WIENER
Active
Individual
BENJAMIN RUSSELL WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
112076
GA
208VP0014X
Interventional Pain Medicine Physician
112076
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
09/02/2026
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