Individual
DR. DANIEL C WIEKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
537 SW UNION AVE., 2ND FLOOR, GRANTS PASS, OR 97527-5788
(541) 507-2050
(541) 507-2051
Mailing address
2825 E BARNETT RD, MSS, MEDFORD, OR 97504-8332
(541) 789-4207
(541) 789-4806
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
MD157
OR
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
MD157235
OR
Other
Enumeration date
06/23/2008
Last updated
02/21/2024
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