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Individual

DR. BRIAN JEFFERY WIATRAK

Active
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Individual

DR. BRIAN JEFFERY WIATRAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
17153
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000045535
—
AL
01
—
1010005
UNITED HEALTHCARE
AL
01
—
1205935012
HOSPITAL NPI
AL
01
—
2322124
CIGNA HEALTH CARE
AL
01
—
25457
SOUTHERN HEALTH SYSTEMS
AL
05
—
529903800
—
AL
01
—
63030730626
CHILDRENS HOSPITAL
AL
01
—
63030730629
CHILDRENS SOUTH
AL
Enumeration date
10/03/2006
Last updated
07/24/2014
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