Individual
DR. STEVEN JOHN WIEMER
Active
Individual
DR. STEVEN JOHN WIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7212
NE
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D13863
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
65958
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
R622
MN
Other
Enumeration date
05/23/2015
Last updated
11/01/2021
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