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Individual

DR. RICHARD JAN WEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-2411
Mailing address
222 TONGASS DR, SITKA, AK 99835-9416

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4727
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4727
MEDICAL LICENSE NUMBER
AK
05
MD3806
AK
Enumeration date
06/25/2007
Last updated
07/08/2007
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