Organization
CRAIG W. WIESENHUTTER, MD
Active
Other names
Coeur d'Alene Arthritis Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG W WIESENHUTTER M.D. (OWNER)
(208) 765-5447
Entity
Organization
Contact information
Practice address
950 W IRONWOOD DR, COEUR D ALENE, ID 83814-2644
(208) 765-5457
(208) 765-6248
Mailing address
950 W IRONWOOD DR, COEUR D ALENE, ID 83814-2644
(208) 765-5457
(208) 765-6248
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
M4720
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002074200
—
ID
Enumeration date
04/17/2007
Last updated
03/03/2011
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