Individual
GREGORY J WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
353 CHURCH AVE # A, CHULA VISTA, CA 91910-3906
(619) 585-8883
(619) 585-8892
Mailing address
353A CHURCH AVE, CHULA VISTA, CA 91910-3906
(619) 585-8883
(619) 585-8892
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A41749
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A417490
—
CA
Enumeration date
09/02/2006
Last updated
08/13/2015
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