Individual
MR. RICHARD A. WIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
57 WATER STREET, BLUE HILL, ME 04614
(207) 374-3911
(207) 374-3986
Mailing address
PO BOX 1029, BLUE HILL, ME 04614-1029
(207) 374-3911
(207) 374-3986
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-342
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287100099
—
ME
01
—
AP041801
MED B - MCMH
ME
01
—
AP041802
MED B - MCMH
ME
Enumeration date
07/05/2006
Last updated
12/14/2009
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