Organization
WIEMER FAMILY PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBBY JAMES WIEMER DPM (OWNER)
(484) 453-8164
Entity
Organization
Contact information
Practice address
850 W CHESTER PIKE, SUITE 200, HAVERTOWN, PA 19083-4400
(484) 453-8164
(484) 453-8291
Mailing address
850 W CHESTER PIKE, SUITE 200, HAVERTOWN, PA 19083-4400
(484) 453-8164
(484) 453-8291
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC004761L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018271290002
—
PA
Enumeration date
02/21/2008
Last updated
01/12/2012
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