Individual
BRIANNE WIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
715 DR MARTIN LUTHER KING JR AVE NE STE 301, ALBUQUERQUE, NM 87102-3668
(505) 727-7096
(505) 727-7099
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301510690
MI
390200000X
Student in an Organized Health Care Education/Training Program
RS2019-0414
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD2025-0068
STATE LICENSE
NM
Enumeration date
03/31/2019
Last updated
01/24/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us