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Individual
JONATHAN WIEMKEN
Active
Individual
JONATHAN WIEMKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/L
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
24-01748
KS
Other
Enumeration date
09/02/2026
Last updated
09/02/2026
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