Individual
DR. HARVEY M WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 S ASHLEY DR, SUITE 600, TAMPA, FL 33602-5304
(813) 899-6223
(813) 984-7192
Mailing address
100 S ASHLEY DR, SUITE 1500, TAMPA, FL 33602-5304
(813) 899-6223
(813) 984-7192
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
OS 8668
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z7049
HEALTHNET
AZ
01
—
312398
AHCCCS
AZ
01
—
470001313
RAILRD MEDICARE
AZ
01
—
AZ0324990
BCBS
AZ
Enumeration date
05/03/2006
Last updated
12/21/2012
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