Individual
DR. EDWARD L WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
21110 BISCAYNE BLVD SUITE 400, AVENTURA, FL 33180
(305) 933-8622
(305) 682-8430
Mailing address
21110 BISCAYNE BLVD SUITE 400, AVENTURA, FL 33180
(305) 933-8622
(305) 682-8430
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS3845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064580000
—
FL
01
—
82412
BLUECROSS BLUESHIELD
FL
Enumeration date
03/09/2006
Last updated
09/12/2011
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