Individual
TIMOTHY B WIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 MEDICAL CENTER DR, NEWTON, KS 67114-8778
(316) 283-6103
(316) 283-1333
Mailing address
720 MEDICAL CENTER DR, NEWTON, KS 67114-8778
(316) 284-5170
(316) 283-1333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21488
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024974
BCBS
KS
05
—
100115410B
—
KS
01
—
100408
HPK
KS
01
—
1017
PHS
KS
01
—
12149419
MULTIPLAN
KS
01
—
16875
COVENTRY
KS
Enumeration date
08/06/2006
Last updated
11/30/2021
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