Individual
ANDREW JAMES WIECHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5615 XERXES AVE N STE D, BROOKLYN CENTER, MN 55430
(763) 581-5630
(763) 581-5631
Mailing address
5615 XERXES AVE N STE D, BROOKLYN CENTER, MN 55430-2820
(763) 581-5630
(763) 581-5631
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5871
MN
Other
Enumeration date
03/07/2018
Last updated
06/11/2018
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