Individual
MARIJO L WIENKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15705 E OCOTILLO DR, FOUNTAIN HILLS, AZ 85268-5318
(575) 649-4527
Mailing address
15705 E OCOTILLO DR, FOUNTAIN HILLS, AZ 85268-5318
(575) 649-4527
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
64251
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD60284902
WA
Other
Enumeration date
06/11/2008
Last updated
03/21/2024
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