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Individual

BRADLEY D WIENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
75 CRYSTAL RUN RD, SUITE 206, MIDDLETOWN, NY 10941-7000
(845) 673-1080
(845) 673-5320
Mailing address
75 CRYSTAL RUN RD, SUITE 206, MIDDLETOWN, NY 10941-7000
(845) 673-1080
(845) 673-5320

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
200402
NY

Other

Enumeration date
08/02/2005
Last updated
08/06/2013
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