Individual
DR. BROOKE A WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
203 MORRIS AVE, HINCKLEY, MN 55037-8100
(320) 384-0123
(320) 384-0123
Mailing address
57812 FOREST BLVD, PINE CITY, MN 55063-9068
(320) 469-4349
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02368
IA
152W00000X
Optometrist
3159
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0735753
—
IA
05
—
1356367866
—
MN
Enumeration date
07/15/2006
Last updated
05/09/2019
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