Individual
DR. ANDREW WIERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3739 N PINE GROVE AVE, #G, CHICAGO, IL 60613-4176
(608) 395-1991
Mailing address
3739 N PINE GROVE AVE, #G, CHICAGO, IL 60613-4176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.027814
IL
1223G0001X
General Practice Dentistry
2562-RESIDENT
OH
1223G0001X
General Practice Dentistry
6057-15
WI
Other
Enumeration date
10/14/2006
Last updated
09/09/2010
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