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KEVIN P WIENKERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2253 W MASON ST, GREEN BAY, WI 54303-4706
(920) 327-7000
(920) 327-7005
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
(920) 405-8005

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26518
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30634100
WI
Enumeration date
07/21/2006
Last updated
04/28/2026
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