Individual
DR. TIMOTHY MITCHELL WIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FAANS
Contact information
Practice address
3545 SAN DIMAS ST, BAKERSFIELD, CA 93301-1605
(661) 323-1947
(661) 323-1904
Mailing address
PO BOX 9663, BAKERSFIELD, CA 93389-9663
(661) 861-0011
(661) 861-1011
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A53943
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053345991
—
CA
Enumeration date
01/04/2007
Last updated
03/08/2018
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