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Individual
TIMOTHY B WIENS
Active
Individual
TIMOTHY B WIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21488
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024974
BCBS
KS
05
—
100115410B
—
KS
01
—
100408
HPK
KS
01
—
1017
PHS
KS
01
—
12149419
MULTIPLAN
KS
01
—
16875
COVENTRY
KS
Enumeration date
08/06/2006
Last updated
11/30/2021
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