Individual
ARIKA WIENEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2235
Mailing address
UW HOSPITALS & CLINICS 600 HIGHLAND AVE, MADISON, WI 53792-5379
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-17088
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
06/22/2023
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