Individual
WILLIAM WIENER
Active
Individual
WILLIAM WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25513
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000000146
HARVARD PILGRIM HEALTH PL
MA
05
—
2002329
—
MA
01
—
23972
FALLON
MA
01
—
703092
TUFTS HEALTH PLAN
MA
Enumeration date
11/01/2006
Last updated
04/13/2011
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