Individual
NATHAN JACOB WIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
510 E HOLLAND AVE, SPOKANE, WA 99218-1206
(509) 363-3100
(509) 363-0300
Mailing address
PO BOX 808, VERADALE, WA 99037-0808
(509) 363-3100
(509) 363-0300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60525567
WA
Other
Enumeration date
03/23/2009
Last updated
07/17/2023
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