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Individual

HOWARD ELVINDO WIARDA

Active
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Individual

HOWARD ELVINDO WIARDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
01052406
IN
2085R0203X
Therapeutic Radiology Physician
01052406
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01052406
IN
2085U0001X
Diagnostic Ultrasound Physician
01052406
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200261430
—
IN
01
—
M16930802
MEDICARE- BMG VEIN SPECIALISTS
IN
Enumeration date
09/13/2005
Last updated
02/12/2026
About Stedi
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