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Individual

DR. ANDREA L WIENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
350 W 11TH ST, INDIANA UNIVERSITY HEATLH, DEPARTMENT OF PATHOLOGY, INDIANAPOLIS, IN 46202-4108
(765) 717-5550
(317) 491-6419
Mailing address
350 W 11TH ST, INDIANA UNIVERSITY HEATLH, DEPARTMENT OF PATHOLOGY, INDIANAPOLIS, IN 46202-4108

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
02003724A
IN

Other

Enumeration date
06/13/2008
Last updated
02/12/2011
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