Organization
TIMOTHY M. WIEBE, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MITCHELL WIEBE MD (PRESIDENT)
(661) 331-4754
Entity
Organization
Contact information
Practice address
3545 SAN DIMAS ST, BAKERSFIELD, CA 93301-1605
(661) 323-1947
(661) 323-1904
Mailing address
9304 NICKAM CT, BAKERSFIELD, CA 93311-1819
(661) 331-4754
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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