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Organization
LAWRENCE J WIELAND MD
Active
Organization
LAWRENCE J WIELAND MD
Active
Other names
REDWOOD FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE J WIELAND MD (OWNER)
(707) 443-4593
Entity
Organization
Contact information
Practice address
2350 BUHNE ST STE A, EUREKA, CA 95501-3205
(707) 443-4593
Mailing address
2350 BUHNE ST STE A, EUREKA, CA 95501-3205
(707) 443-4593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0077160
—
CA
05
—
RHM03916F
—
CA
Enumeration date
08/21/2006
Last updated
10/13/2011
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