Individual
ADAM WIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1727 SHAWANO AVE, GREEN BAY, WI 54303-3268
(920) 272-3380
Mailing address
1727 SHAWANO AVE, GREEN BAY, WI 54303-3268
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12994-024
WI
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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