Individual
DR. STEVEN M WIEBE-KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2602 BUFORD RD, RICHMOND, VA 23235-3422
(804) 272-8806
Mailing address
1001 HORSEPEN RD, RICHMOND, VA 23229-6726
(804) 288-6424
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
101043648
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7214138
—
VA
Enumeration date
06/04/2006
Last updated
02/27/2015
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