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Individual
STEPHANIE MARIE WIEMAN
Active
Individual
STEPHANIE MARIE WIEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
37026
IA
207L00000X
Anesthesiology Physician
Primary
7786
SD
207P00000X
Emergency Medicine Physician
37026
IA
208600000X
Surgery Physician
49784-020
WI
Other
Enumeration date
01/02/2007
Last updated
07/06/2010
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