Individual
TANI B JAUSURAWONG WIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
DO034653
DC
Other
Enumeration date
06/01/2012
Last updated
08/08/2024
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