Individual
DR. CHRISTOPHER WILLIAM WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 251-2700
(314) 362-9878
Mailing address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 251-2700
(314) 362-9878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57939
MN
208M00000X
Hospitalist Physician
2012010370
MO
208M00000X
Hospitalist Physician
Primary
57939
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093025801
—
MN
Enumeration date
10/14/2010
Last updated
10/30/2015
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