Individual
DR. MARVIN WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2021 E WOOD PL, SHOREWOOD, WI 53211-2015
(414) 962-7922
Mailing address
2021 E WOOD PL, SHOREWOOD, WI 53211-2015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19576
WI
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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