Individual
BRAM WIESKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1192 BUCKHEAD XING, SUITE E, WOODSTOCK, GA 30189-4254
(678) 494-4450
(678) 494-6265
Mailing address
1192 BUCKHEAD XING, SUITE E, WOODSTOCK, GA 30189-4254
(678) 494-4450
(678) 494-6265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
045136
GA
Other
Enumeration date
05/10/2006
Last updated
03/04/2008
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