Individual
JOHN SAMUEL WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ERWIN ROAD, DURHAM, NC 27710-2121
(919) 684-6994
(919) 681-5507
Mailing address
BOX 3831 DUKE UNIVERSITY MEDICAL CENTER, DURHAM, NC 27710-2121
(919) 684-6994
(919) 681-5507
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
33913
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891047F
—
NC
Enumeration date
06/22/2006
Last updated
03/16/2023
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