Individual
JAMES W. WIETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1515 DELHI ST SUITE 300, DUBUQUE, IA 52001-6320
(563) 557-8500
(563) 589-4050
Mailing address
1515 DELHI ST SUITE 300, DUBUQUE, IA 52001-6320
(563) 557-8500
(563) 589-4050
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
054584
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43330700
—
WI
Enumeration date
02/03/2006
Last updated
11/13/2007
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