Individual
MARSHALL WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 HOSPITAL DR, VICTORIA, TX 77901-5748
(361) 582-5700
(361) 582-5702
Mailing address
2701 HOSPITAL DR, VICTORIA, TX 77901-5748
(361) 582-5700
(361) 582-5702
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G4218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0896649-02
—
TX
Enumeration date
02/01/2006
Last updated
10/27/2016
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