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Individual

DR. SCOTT J WIESENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4330 E WEST HWY, SUITE 1100, BETHESDA, MD 20814-4408
(301) 986-8010
Mailing address
14907 MICHELE DR, GLENELG, MD 21737-9419
(954) 594-4950

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101247880
VA
207L00000X
Anesthesiology Physician
Primary
D0070972
MD
207L00000X
Anesthesiology Physician
MD038866
DC

Other

Enumeration date
02/14/2007
Last updated
01/07/2016
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