Individual
DR. KENNETH B WIESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 SCRIPPS DR, #100, SACRAMENTO, CA 95825
(916) 922-7021
(916) 922-3050
Mailing address
107 SCRIPPS DR STE 100, SACRAMENTO, CA 95825-6300
(916) 922-7021
(916) 922-3050
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G26529
CA
Other
Enumeration date
12/01/2006
Last updated
10/09/2008
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