Individual
GEORGE E WIEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 NE MOTHER JOSEPH PL, BOX 1600, VANCOUVER, WA 98664-3200
(360) 514-4325
(360) 514-4336
Mailing address
400 NE MOTHER JOSEPH PL, P O BOX 1600, VANCOUVER, WA 98664-3200
(360) 514-4325
(360) 514-4336
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18524
WA
207R00000X
Internal Medicine Physician
Primary
18524
WA
Other
Enumeration date
06/20/2006
Last updated
07/22/2011
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