Individual
DR. JACQUELINE ANN WIENEKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6825 16TH ST NW, WASHINGTON, DC 20306
(202) 782-2783
Mailing address
9716 HOLLOWAY HILL CT, ROCKVILLE, MD 20854-5417
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD20883
DC
Other
Enumeration date
12/02/2005
Last updated
07/08/2007
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