Individual
ALEXANDER D. WIELAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 S LEMON AVE, 9926, WALNUT, CA 91789-2706
(706) 306-4668
Mailing address
340 S LEMON AVE, 9926, WALNUT, CA 91789-2706
(706) 306-4668
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0071128
MD
207P00000X
Emergency Medicine Physician
M-2007
GU
Other
Enumeration date
05/17/2007
Last updated
11/21/2016
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